STOCKRIDGE PHYSICIANS SERVICES LLC (NPI# 1285917765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285917765 |
| Entity Type | Organization |
| Organization Name | STOCKRIDGE PHYSICIANS SERVICES LLC |
| Other Organization Name | STOCKRIDGE MEN'S MEDCENTER |
| Practice Address |
5401 College Blvd Ste 203 Leawood KS 66211-1923 |
| Mailing Address |
Po Box 521 Andover KS 67002-0521 |
| Practice Telephone | 9135534614 |
| Practice Fax Number | 9135534615 |
| Mailing Telephone | 3169273884 |
| Mailing Fax Number | 3169273886 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2012-05-25 |
| Authorized Official Name | DR. DENNIS K KATZ (SOLE MEMBER) |
| Authorized Official Telephone | 9135534614 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Stockridge Men's MedCenter | Doing Business As Name - Organization |
| Street Address |
5401 COLLEGE BLVD STE 203 |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939608 | Mark David Strehlow | Family Medicine | 5401 College Blvd, Suite 203, Leawood, KS 66211-1617 | 2005-08-15 |
| 1861948770 | Brenda Tally | Marriage & Family Therapist | 5401 College Blvd, Suite 212, Leawood, KS 66211-1923 | 2016-08-30 |
| 1922553783 | Rebecca Anne Burgess | Marriage & Family Therapist | 5401 College Blvd, Suite 212, Leawood, KS 66211-1923 | 2016-08-22 |
| 1427313337 | Brian Josephs International LLC | Prosthetic/Orthotic Supplier | 5401 College Blvd, Suite 204, Leawood, KS 66211-1923 | 2012-07-06 |
| 1316218134 | The Center for Children & Family Support Inc | Social Worker | 5401 College Blvd, Suite 111, Leawood, KS 66211-1923 | 2012-01-25 |
| 1700167137 | Homewatch Caregivers | In Home Supportive Care | 5401 College Blvd, 210, Leawood, KS 66211-1923 | 2011-08-30 |
| 1700184058 | Leawood Pediatrics, LLC | Pediatrics | 5401 College Blvd, Suite 102, Leawood, KS 66211-1923 | 2011-03-10 |
| 1407162308 | Vanessa Wray Knight | Counselor | 5401 College Blvd, Building 1, Suite 102, Leawood, KS 66211-1923 | 2010-08-30 |
| 1053576074 | Sarah A Rastogi | Pediatrics | 5401 College Blvd, Ste 100, Leawood, KS 66211-1923 | 2008-07-21 |
| 1336303056 | K Bryce Hamilton | Social Worker | 5401 College Blvd, Suite 111, Leawood, KS 66211-1923 | 2008-07-11 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484827 | Jesse Curtis Lindquist | Urology | 7450 Kessler St Ste 110, Merriam, KS 66204-2519 | 2020-03-31 |
| 1316571623 | Kenneth Elliott Schmanke | Urology | 2609 Sw Randolph Ct, Topeka, KS 66611-1731 | 2020-02-25 |
| 1619344934 | Quantum Health and Wellness Center | Urology | 227 Blue Earth Place, Suite 209, Manhattan, KS 66502 | 2015-08-24 |
| 1568738474 | William Roger Herre | Urology | 9301 W 74th St Ste 225, Merriam, KS 66204-2217 | 2012-03-25 |
| 1689952939 | Charles Kempe Casteel | Urology | 272 Lakeshore Dr W, Lake Quivira, KS 66217-8521 | 2011-08-03 |
| 1922395938 | Eric Deroo | Urology | 10550 Quivira Rd Ste 105, Overland Park, KS 66215-2302 | 2011-06-29 |
| 1255639787 | Howard Chris Halvorson | Urology | 10569 S Glenview Ln, Olathe, KS 66061-7427 | 2011-03-08 |
| 1811145212 | Subrahmanyeswara Srinivas Samavedi | Urology | 2214 Canterbury Dr Ste 308, Hays, KS 67601-2375 | 2008-08-28 |
| 1538332788 | Felipe Rosso | Urology | 1133 College Ave Ste G100, Associated Urologists Pa, Manhattan, KS 66502-2756 | 2008-04-09 |
| 1447399431 | Moben Mirza | Urology | 3901 Rainbow Blvd Ms 3016, Dept of Urology - Univ of Ks Medical Ctr, Kansas City, KS 66160 | 2007-02-06 |
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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.