MS. AMORNLUCK KRASAELAP


Address: 5808 W 110th St, Overland Park, KS 66211-2504
Phone: 9136968000

MS. AMORNLUCK KRASAELAP (NPI# 1376954461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376954461
Entity Type Individual
Full Name MS. AMORNLUCK KRASAELAP
Credential M.D.
Practice Address 5808 W 110th St
Overland Park
KS 66211-2504
Mailing Address 2401 Gillham Rd
Attn: Provider Enrollment Dept
Kansas City
MO 64108-4619
Practice Telephone 9136968000
Practice Fax Number 8163029939
Mailing Telephone 8167015200
Mailing Fax Number 8163029939
Enumeration Date 2014-05-12
Last Update Date 2020-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
04-43262 KS Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
3901 Beaubien Blvd, Children's Hospital of Michigan, Detroit, MI 48201 3137451892 3139937118
8701 W Watertown Plank Rd, Milwaukee, WI 532263548 4142662802

Office Location

Street Address 5808 W 110TH ST
City OVERLAND PARK
State KS
Zip Code 66211-2504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891779906 Angela J Croom Pediatrics 5808 W 110th St, Overland Park, KS 66211-2504 2005-12-01
1619502473 David Vanderhofe Social Worker 5808 W 110th St, Overland Park, KS 66211-2504 2020-03-11
1366095283 Kimberly Renee Periman Nurse Practitioner 5808 W 110th St, Overland Park, KS 66211-2504 2019-07-19
1912461997 Taryn Gort Registered Nurse 5808 W 110th St, Overland Park, KS 66211-2504 2019-01-24
1407325186 Caley Jo Dykstra Nurse Practitioner 5808 W 110th St, Overland Park, KS 66211 2018-11-25
1881182723 Erika O Kokoruda Social Worker 5808 W 110th St, Overland Park, KS 66211-2504 2018-04-26
1720524846 Childrens Mercy Hospital Pharmacy 5808 W 110th St, Overland Park, KS 66211-2504 2017-01-12
1689129991 Linda Ahmu Dietitian, Registered 5808 W 110th St, Overland Park, KS 66211-2504 2016-08-17
1952715427 Margaret Koos Pediatrics 5808 W 110th St, Overland Park, KS 66211-2504 2014-06-12
1972922698 Taina Jausurawong Hudson Pediatrics 5808 W 110th St, Overland Park, KS 66211-2504 2014-04-09
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972922698 Taina Jausurawong Hudson Pediatrics 5808 W 110th St, Overland Park, KS 66211-2504 2014-04-09
1578901153 Gracielle Nicole Bahia Pediatrics 5808 W 110th St, Overland Park, KS 66211-2504 2013-06-05
1174782395 Valentine Enemuo Pediatrics 10550 Quivira Rd Ste 520, Overland Park, KS 66215-2307 2008-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073728002 Osama Farouq Almadhoun Pediatrics 3901 Rainbow Blvd # Ks, Dept of Pediatrics, Mail Stop 3063, Kansas City, KS 66160-8500 2007-05-12
1114120466 Mayssa Zayat Pediatrics 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 2007-06-06
1437368263 Lana N. Hattar Pediatrics 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 2007-05-21

Competitor

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City OVERLAND PARK
Zip Code 66211

Improve Information

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Dataset Information

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.

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