EUGENE BORTNICK (NPI# 1386608297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386608297 |
Entity Type | Individual |
Full Name | EUGENE BORTNICK |
Credential | MD |
Practice Address |
5520 College Blvd Suite 350 Overland Park KS 66211-1630 |
Practice Telephone | 9136635100 |
Practice Fax Number | 9136633354 |
Mailing Telephone | 9136635100 |
Mailing Fax Number | 9136633354 |
Enumeration Date | 2006-04-17 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
04-25172 | MO | Allopathic & Osteopathic Physicians |
Street Address |
5520 COLLEGE BLVD SUITE 350 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66211-1630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245235860 | Renee Marie Hartman | Internal Medicine | 5520 College Blvd, Ste 470, Overland Park, KS 66211-1694 | 2005-06-20 |
1891337168 | Megan Blaufuss | Occupational Therapist | 5520 College Blvd, Overland Park, KS 66211-1630 | 2019-10-08 |
1962931691 | Perry Cole Ritter | Occupational Therapist | 5520 College Blvd, Overland Park, KS 66211-1630 | 2017-06-06 |
1124479605 | Rindalyn Fairchild | Physical Therapist | 5520 College Blvd, Suite 301, Overland Park, KS 66211-1630 | 2016-06-27 |
1336590850 | Heather Ebert | Occupational Therapist | 5520 College Blvd, Suite 340, Overland Park, KS 66211-1630 | 2016-06-27 |
1245608389 | Lindsey M Phillips | Occupational Therapist | 5520 College Blvd, Overland Park, KS 66211-1630 | 2015-09-06 |
1588065247 | Layla Houser | Speech-Language Pathologist | 5520 College Blvd, Suite 370, Overland Park, KS 66211-1630 | 2014-09-11 |
1861806333 | Karen Hathaway | Speech-Language Pathologist | 5520 College Blvd, Suite 370, Overland Park, KS 66211-1630 | 2014-06-12 |
1275950289 | Ann E Franklin | Dietitian, Registered | 5520 College Blvd, Overland Park, KS 66211-1630 | 2014-03-27 |
1104268549 | Lauren S Pyle | Counselor | 5520 College Blvd, Overland Park, KS 66211-1630 | 2013-07-26 |
Find all providers in the same location |
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 | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023180700 | Kenneth Allan Buchwach | Otolaryngology | 5701 W 119th St, Suite 320, Overland Park, KS 66209-3722 | 2006-11-15 |
City | OVERLAND PARK |
Zip Code | 66211 |
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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.