DR. BLAKE STEPANOVICH (NPI# 1366895872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366895872 |
Entity Type | Individual |
Full Name | DR. BLAKE STEPANOVICH |
Credential | D.O. |
Practice Address |
201 Nw Rd Mize Road Blue Springs MO 64014 |
Practice Telephone | 8166555426 |
Practice Fax Number | 8166555408 |
Mailing Telephone | 8166555426 |
Mailing Fax Number | 8166555408 |
Enumeration Date | 2016-07-20 |
Last Update Date | 2016-07-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | 2016022465 | MO | Allopathic & Osteopathic Physicians |
Street Address |
201 NW RD MIZE ROAD |
City | BLUE SPRINGS |
State | MO |
Zip Code | 64014 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962777557 | Blue Springs Emergency Physician Services PC | Emergency Medicine | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2012-03-14 |
1689294431 | Yale Williams | Student in an Organized Health Care Education/Training Program | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2020-04-22 |
1437779394 | Kyle Lee Barner | Student in an Organized Health Care Education/Training Program | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2020-04-21 |
1780248732 | Chase Hobbs | Student in an Organized Health Care Education/Training Program | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2019-04-25 |
1295220689 | Derec Stanislav | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2018-06-27 |
1902390073 | Katherine Paul | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2018-06-21 |
1740799337 | Donald Lao | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2017-09-26 |
1750802807 | Curtis Ellsworth | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2017-06-29 |
1659892859 | Kyle Busch | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2017-06-28 |
1386191682 | Elijah G Miller | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2016-09-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
Find all providers in zip 64014 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
1437464047 | David W Dugan | Orthopaedic Surgery | 203 Nw R. D. Mize Rd, Suite # 250, Blue Springs, MO 64014-2513 | 2010-08-09 |
1952375230 | Charles Orth | Orthopaedic Surgery | 203 Nw R.d. Mize Rd, Suite 250, Blue Springs, MO 64014 | 2006-02-14 |
1295220689 | Derec Stanislav | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2018-06-27 |
1902390073 | Katherine Paul | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2018-06-21 |
1740799337 | Donald Lao | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2017-09-26 |
1750802807 | Curtis Ellsworth | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2017-06-29 |
1659892859 | Kyle Busch | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2017-06-28 |
1386191682 | Elijah G Miller | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2016-09-02 |
1114473451 | Tyler E Boyet | Orthopaedic Surgery | 201 Nw Rd Mize Road, Blue Springs, MO 64014 | 2016-08-28 |
Find all providers in BLUE SPRINGS |
City | BLUE SPRINGS |
Zip Code | 64014 |
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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.