RADIOLOGY ASSOCIATES OF KANSAS CITY, LLC (NPI# 1437308889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437308889 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY ASSOCIATES OF KANSAS CITY, LLC |
| Other Organization Name | SKIN DEEP LASER & VEIN |
| Practice Address |
4809 W 117th St Leawood KS 66211-2051 |
| Mailing Address |
9212 Nieman Rd Overland Park KS 66214-1868 |
| Practice Telephone | 9133278702 |
| Practice Fax Number | 9133278701 |
| Mailing Telephone | 9135996777 |
| Mailing Fax Number | 9135993955 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2009-07-08 |
| Authorized Official Name | MARK IDSTROM (PRESIDENT) |
| Authorized Official Telephone | 9135996777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Skin Deep Laser & Vein | Doing Business As Name - Organization |
| Street Address |
4809 W 117TH ST |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66211-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639617004 | Therese Mckechnie, Msw, Lscsw, LLC | Social Worker | 4809 W 117th St, Leawood, KS 66211-2051 | 2017-02-06 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811394919 | Advanced General Radiology LLC | Radiology | 1715 Medical Parkway, Suite 200, Newton, KS 67114-9042 | 2014-12-04 |
| 1538494075 | Edward L Siegel | Radiology | 14007 W 56th St, Shawnee, KS 66216-4695 | 2009-10-15 |
| 1235221763 | Vascular and Radiology Specialists LLC | Radiology | 1011 N Preserve, Wichita, KS 67206 | 2006-09-29 |
| 1760094130 | William Newton Memorial Hospital | Radiology | 1305 E 5th Ave, Winfield, KS 67156-2406 | 2020-08-18 |
| 1750902821 | Sean Keilty | Radiology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-04-30 |
| 1811034887 | Heartland Radiology, Pa | Radiology | 1124 W 21st, Andover, KS 67002 | 2007-01-31 |
| 1912096868 | Veronika Mcdonald | Radiology | 9100 W 74th St, Overland Park, KS 66204-4004 | 2006-10-11 |
| 1548375793 | Charles A Karlin | Radiology | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2006-08-20 |
| 1629183884 | Terry S Lee | Radiology | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2006-08-20 |
| 1821009531 | Ramin Midia | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2006-08-10 |
| 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.