JOHN A CLOUGH


Address: 5340 College Blvd, Overland Park, KS 66211-1621
Phone: 8169420200

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KS KS MEDICAID 100458340A 01
MO 205104904 05
MO MEDICARE RR P00353063 01
MO MEDICARE W73A634 01

Other Providers JOHN CLOUGH

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

Office Location

Street Address 5340 COLLEGE BLVD
City OVERLAND PARK
State KS
Zip Code 66211-1621

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City OVERLAND PARK
Zip Code 66211

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Dataset Information

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.

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