DR. STEPHANIE ANN SEDIVY (NPI# 1386673473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386673473 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE ANN SEDIVY |
| Credential | M.D. |
| Practice Address |
7800 W 110th St Overland Park KS 66210-2304 |
| Mailing Address |
2818 W 66th Ter Mission Hills KS 66208-1811 |
| Practice Telephone | 9133390416 |
| Practice Fax Number | 9133194316 |
| Mailing Telephone | 9133622227 |
| Mailing Fax Number | 9133622231 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
102716 | MO | Allopathic & Osteopathic Physicians |
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
0424745 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
7800 W 110TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902884026 | John R Dobson | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2006-01-09 |
| 1215312863 | Kc Pathology Pa | Clinical Medical Laboratory | 7800 W 110th St, Overland Park, KS 66210-2304 | 2015-07-24 |
| 1285014282 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 7800 W 110th St, Overland Park, KS 66210-2304 | 2015-06-04 |
| 1679724439 | Ambreen Nasir Khan | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2008-10-09 |
| 1265653315 | Joanne Mayor Quilon | Pathology | 7800 W 110th St, Overland Park, KS 66210-2304 | 2007-05-02 |
| 1518183391 | Christian Psychological Services | Psychologist | 7800 W 110th St, Suite 112, Overland Park, KS 66210-2304 | 2007-04-18 |
| 1194853549 | Christian Psychological Services | Psychologist | 7800 W 110th St, Suite 112, Overland Park, KS 66210-2304 | 2007-02-28 |
| 1972654614 | Pierre W Keitges Md PC | Clinical Medical Laboratory | 7800 W 110th St, Suite 200, Overland Park, KS 66210-2304 | 2007-01-16 |
| 1457459372 | Melanie Libra Davis | Psychologist | 7800 W 110th St, Suite 112, Overland Park, KS 66210-2304 | 2006-09-21 |
| 1003822560 | Physicians Reference Laboratory LLC | Clinical Medical Laboratory | 7800 W 110th St, Ste 200, Overland Park, KS 66210-2304 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881867745 | Jessica Ann Kozel | Pathology | 7301 College Blvd, Suite 110, Overland Park, KS 66210-1937 | 2008-04-10 |
| 1316054497 | Allison Lisle Cargnel | Pathology | 7301 College Blvd, Overland Park, KS 66210-1937 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427011907 | Pathology Services Pa | Pathology | 5650 Sw 29th Street, Topeka, KS 66614-2443 | 2006-04-07 |
| 1437282407 | Dermatopathology Services Pa | Pathology | 3514 Clinton Pkwy, Ste A #421, Lawrence, KS 66047-2145 | 2007-03-13 |
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.