DANIEL P BORTNICK (NPI# 1326090259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326090259 |
| Entity Type | Individual |
| Full Name | DANIEL P BORTNICK |
| Credential | MD |
| Practice Address |
11550 Granada St Leawood KS 66211-1453 |
| Practice Telephone | 9137544939 |
| Practice Fax Number | 9136632411 |
| Mailing Telephone | 9137544939 |
| Mailing Fax Number | 9136632411 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 105608 | MO | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 0422406 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE MO | P73A00011 | 01 |
| KS | MEDICARE KS | P73000009 | 01 |
| Street Address |
11550 GRANADA ST |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665509 | Elizabeth A Spenceri | Dermatology | 11550 Granada St, Leawood, KS 66211-1453 | 2005-08-02 |
| 1750655585 | Anne M Blake | Dermatology | 11550 Granada St, Leawood, KS 66211-1453 | 2012-02-24 |
| 1174722292 | Colin A Ruff | Dermatology | 11550 Granada St, Leawood, KS 66211-1453 | 2007-07-18 |
| 1568669794 | Celeste A Angel | Dermatology | 11550 Granada St, Leawood, KS 66211-1453 | 2007-06-29 |
| 1669577524 | Skin & Mohs Surgery Center, LLC | Clinic/Center | 11550 Granada St, Leawood, KS 66211-1453 | 2006-09-14 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639278666 | Jeffrey W Colyer | Plastic Surgery | 4940b W. 137th St, Leawood, KS 66224 | 2006-09-22 |
| 1164738555 | John H Hulsen IIi | Plastic Surgery | 11501 Granada St, Leawood, KS 66211-1454 | 2010-08-24 |
| 1942330816 | Paul James Leahy | Plastic Surgery | 4801 W 135th St, Leawood, KS 66224 | 2007-03-07 |
| 1013027374 | J Douglas Cusick | Plastic Surgery | 4601 College Blvd, Suite 222, Leawood, KS 66211 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1548899180 | Megan Angermayer | Plastic Surgery | 6800 W 201st Ter, Bucyrus, KS 66013-9630 | 2020-04-06 |
| 1649818014 | Abbey Marie Bays | Plastic Surgery | 12330 Metcalf Ave Ste 500, Overland Park, KS 66213-1311 | 2019-12-17 |
| 1801260096 | Gerald Dale Nelson | Plastic Surgery | 9403 Cross Creek St (retired), Wichita, KS 67206-4086 | 2015-11-25 |
| 1437415726 | Raven Henderson | Plastic Surgery | 4128 Doolittle Dr, Lawrence, KS 66049-4117 | 2012-04-11 |
| 1497072037 | David Stephen Zamierowski | Plastic Surgery | 13203 Lamar Ave, Overland Park, KS 66209-3803 | 2010-04-21 |
| 1356509285 | Meredith S. Collins | Plastic Surgery | 4000 Cambridge St # Ms 3015, Kansas City, KS 66160-8501 | 2008-05-28 |
| 1932294188 | Barbara Anne Mcgrath | Plastic Surgery | 7509 Nall Ave, Shawnee Mission, KS 66208-4762 | 2006-10-04 |
| 1457459364 | James M Shaw | Plastic Surgery | 3595 N Webb Rd, Wichita, KS 67226-8168 | 2006-09-21 |
| 1356447825 | Plastic Surgery Center, P.a. | Plastic Surgery | 1861 N Webb Rd, Wichita, KS 67206-3413 | 2006-09-15 |
| Find all providers with the same taxonomy | ||||
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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.