SOUTHSIDE PET HOSPITAL, INC. (NPI# 1336468156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336468156 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE PET HOSPITAL, INC. |
| Practice Address |
231 E Dennis Ave Olathe KS 66061-4517 |
| Practice Telephone | 9137820173 |
| Practice Fax Number | 9137821830 |
| Mailing Telephone | 9137820173 |
| Mailing Fax Number | 9137821830 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | DR. RODNEY JOHN SCHIEFFER (PRESIDENT) |
| Authorized Official Telephone | 9137820173 |
| Authorized Official Credential | DVM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 3701 | KS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | LICENSE TO PRACTICE VETERINARY MEDICINE | 3701 | 01 |
| Street Address |
231 E DENNIS AVE |
| City | OLATHE |
| State | KS |
| Zip Code | 66061-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
| 1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
| 1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
| 1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
| 1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
| 1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
| Find all providers in zip 66061 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538671946 | The Bariatric Center of Kansas City LLC | Special Hospital | 23401 Prairie Star Pkwy # 350, Lenexa, KS 66227 | 2017-10-26 |
| 1629053228 | Manhattan Surgical Hospital LLC | Special Hospital | 1829 College Ave, Manhattan, KS 66502-3381 | 2005-12-07 |
| 1164420329 | Salina Surgical Center, LLC | Special Hospital | 401 S Santa Fe Ave, Salina, KS 67401-4143 | 2005-07-12 |
| 1598120461 | Robert J Doel Vamc | Special Hospital | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2015-12-21 |
| 1699908046 | John Fasbinder D.d.s., Pa | Special Hospital | 3700 W 83rd St, Suite 109, Prairie Village, KS 66208-5120 | 2009-09-02 |
| 1932117975 | Summit Surgical LLC | Special Hospital | 1818 E 23rd Ave, Hutchinson, KS 67502 | 2006-08-04 |
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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.