JOHN A CLOUGH (NPI# 1285661835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285661835 |
Entity Type | Individual |
Full Name | JOHN A CLOUGH |
Credential | M.D. |
Practice Address |
5340 College Blvd Overland Park KS 66211-1621 |
Mailing Address |
Po Box 412892 Kansas City MO 64141-2892 |
Practice Telephone | 8169420200 |
Practice Fax Number | 8169420205 |
Mailing Telephone | 8169420200 |
Mailing Fax Number | 8169420205 |
Enumeration Date | 2006-06-27 |
Last Update Date | 2013-02-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207T00000X | Neurological Surgery | 04-29963 | KS | Allopathic & Osteopathic Physicians |
Y | 207T00000X | Neurological Surgery | 106552 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KS MEDICAID | 100458340A | 01 |
MO | 205104904 | 05 | |
MO | MEDICARE RR | P00353063 | 01 |
MO | MEDICARE | W73A634 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306843461 | John R Clough | Family Medicine | 5751 Bradford Hicks Dr, Livingston, TN 38570-2237 | 2005-07-05 |
1801850557 | John D. Clough | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-04-12 |
Street Address |
5340 COLLEGE BLVD |
City | OVERLAND PARK |
State | KS |
Zip Code | 66211-1621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538627823 | Laura Schlotzhauer | Nurse Practitioner | 5340 College Blvd, Overland Park, KS 66211-1621 | 2019-03-06 |
1821535931 | Sarah Fernholz | Nurse Practitioner | 5340 College Blvd, Overland Park, KS 66211-1621 | 2017-01-26 |
1255758801 | Veronica L Carter | Nurse Practitioner | 5340 College Blvd, Overland Park, KS 66211-1621 | 2014-03-20 |
1962752865 | Angeline K Barton | Nurse Practitioner | 5340 College Blvd, Overland Park, KS 66211-1621 | 2012-09-18 |
1982995338 | Frances Arthur Hardaway | Neurological Surgery | 5340 College Blvd, Overland Park, KS 66211 | 2011-04-20 |
1851699268 | Jessica Lee Keeler | Registered Nurse | 5340 College Blvd, Overland Park, KS 66211-1621 | 2011-03-09 |
1811294499 | Richelle Marie Wheeler | Nurse Practitioner | 5340 College Blvd, Overland Park, KS 66211-1621 | 2011-02-17 |
1790085462 | Kellie Anne Stewart | Nurse Practitioner | 5340 College Blvd, Overland Park, KS 66211-1621 | 2010-10-28 |
1457430514 | Neurosurgery of South Kansas City, LLC | Neurological Surgery | 5340 College Blvd, Overland Park, KS 66211-1621 | 2006-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
Find all providers in zip 66211 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750827986 | Kansas City Neurosurgery LLC | Neurological Surgery | 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1362 | 2017-01-11 |
1982995338 | Frances Arthur Hardaway | Neurological Surgery | 5340 College Blvd, Overland Park, KS 66211 | 2011-04-20 |
1548401722 | Robert T. Tenny M.d., P.a. | Neurological Surgery | 10550 Quivira Rd, Suite 230, Overland Park, KS 66215-2306 | 2009-03-17 |
1851577456 | The Headache & Pain Center, P.a. | Neurological Surgery | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 | 2008-01-14 |
1487830261 | The Headache & Pain Center, P.a. | Neurological Surgery | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 | 2008-01-11 |
1568648343 | The Headache & Pain Center, P.a. | Neurological Surgery | 8101 W 135th St, Suite 200, Overland Park, KS 66223-1111 | 2008-01-11 |
1457430514 | Neurosurgery of South Kansas City, LLC | Neurological Surgery | 5340 College Blvd, Overland Park, KS 66211-1621 | 2006-11-02 |
1447264122 | Robert M Beatty | Neurological Surgery | 12200 W 106th St, Suite 400-e, Overland Park, KS 66215-2305 | 2006-07-28 |
1447287776 | Johnson County Spine, P.a | Neurological Surgery | 8575 W 110th St, Suite 205, Overland Park, KS 66210-1865 | 2006-06-26 |
1215983481 | Harold A Hess | Neurological Surgery | 8575 W 110th St, Suite 205, Overland Park, KS 66210-1865 | 2006-05-26 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66211 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.