MID-AMERICA UROLOGY, PA (NPI# 1376691444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376691444 |
| Entity Type | Organization |
| Organization Name | MID-AMERICA UROLOGY, PA |
| Practice Address |
705 Baptiste Dr Paola KS 66071-1336 |
| Mailing Address |
20375 W 151st St Ste 270 Olathe KS 66061-5306 |
| Practice Telephone | 9137803388 |
| Practice Fax Number | 9137803256 |
| Mailing Telephone | 9137803388 |
| Mailing Fax Number | 9137803256 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2014-11-14 |
| Authorized Official Name | DR. BRADLEY D CONNETT (OWNER) |
| Authorized Official Telephone | 9137803388 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100153430B | 05 | |
| RAILROAD MEDICARE | CS3061 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821146994 | Mid-america Urology, Pa | Urology | 20375 W 151st St, Ste 270, Olathe, KS 66061-7218 | 2007-01-08 |
| 1699823310 | Mid-america Urology, Pa | Urology | 1000 Carondelet Dr, St Joseph Medical Center, Kansas City, MO 64114-4673 | 2007-01-08 |
| 1255306007 | Mid-america Urology, Pa | Urology | 10550 Quivira Rd, Suite 270, Overland Park, KS 66215-2306 | 2006-02-22 |
| Street Address |
705 BAPTISTE DR |
| City | PAOLA |
| State | KS |
| Zip Code | 66071-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825825 | Donald E Banks | Family Medicine | 705 Baptiste Dr, Paola, KS 66071-1336 | 2005-10-17 |
| 1184971087 | Jessica Kristine Putnam | Optometrist | 705 Baptiste Dr, Ste 200, Paola, KS 66071-1336 | 2012-08-09 |
| 1124397039 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 705 Baptiste Dr, Paola, KS 66071-1336 | 2011-12-21 |
| 1164610291 | Donald E. Banks | Family Medicine | 705 Baptiste Dr, Paola, KS 66071-1336 | 2007-10-15 |
| 1649468174 | Trent E. Knewtson | Family Medicine | 705 Baptiste Dr, Paola, KS 66071-1336 | 2007-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891235032 | Erin Poe | Pharmacist | 311 N. Hospital Dr., Paola, KS 66071 | 2017-03-07 |
| 1902052871 | Travis L Howard | Dentist | 1610 Willis Court, Paola, KS 66071 | 2008-08-12 |
| 1114139870 | Agape, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16046 W 343rd St, Paola, KS 66071 | 2007-05-04 |
| 1497978373 | County of Miami | Public Health or Welfare | 1201 Lakemary Drive, Paola, KS 66071 | 2007-04-10 |
| 1629192356 | Maria Elaine Heid | Speech-Language Pathologist | 2103 Lakeview Drive, Paola, KS 66071 | 2007-03-19 |
| 1356408736 | Douglas Mark Slawson | Dentist | 22 South Silver, Paola, KS 66071 | 2007-01-03 |
| 1811089295 | Sanders Family Dentistry | Dentist | 28 W Peoria, Paola, KS 66071 | 2006-09-29 |
| 1043263767 | Shana E Pedrow | Nurse Practitioner | 2102 Baptiste Drive, Paola, KS 66071 | 2006-05-17 |
| 1801867510 | College Boulevard Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 2100 Baptiste Dr, Paola, KS 66071 | 2006-01-30 |
| 1235109950 | Jaclyn Dean Voight | Nurse Anesthetist, Certified Registered | 2100 Baptiste, Paola, KS 66071 | 2006-01-25 |
| Find all providers in zip 66071 | ||||
| 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 |
| 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.