ELITE SPINE CARE OF KANSAS CITY, LLC (NPI# 1447872346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447872346 |
| Entity Type | Organization |
| Organization Name | ELITE SPINE CARE OF KANSAS CITY, LLC |
| Practice Address |
4911 W 87th Ter Prairie Village KS 66207-2271 |
| Mailing Address |
180 N Michigan Ave Ste 500 Chicago IL 60601-7426 |
| Practice Telephone | 9136497300 |
| Mailing Telephone | 3127969483 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | GLENN AMUNDSON (OWNER) |
| Authorized Official Telephone | 9136497300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Glenn M. Amundson | Other Name - Individual/Organization |
| Street Address |
4911 W 87TH TER |
| City | PRAIRIE VILLAGE |
| State | KS |
| Zip Code | 66207-2271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730126723 | Glenn M Amundson | Orthopaedic Surgery | 4911 W 87th Ter, Prairie Village, KS 66207-2271 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699301077 | Koeneman Psychological Services, LLC | Community/Behavioral Health | 5750 W. 95th St. Suite 220, Overland Park, KS 66207 | 2020-03-18 |
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1134509243 | Milburn Wheatley Hobson | Obstetrics & Gynecology | Residence 5467 W. 85 Ter., Prairie Village, KS 66207 | 2015-06-03 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1831301340 | Andrew Van Blarcom, Dds, Pa | Dentist | 5000 West 95th Street, Suite Number 290, Prairie Village, KS 66207 | 2007-05-04 |
| 1336270115 | Edward D. Dallam | Dentist | 5000 W 95th St Ste 300, Prairie Village, KS 66207 | 2007-03-07 |
| 1245379809 | Willa J Kozlowski | Counselor | 5350 W. 94th Terrrace, Suite 204, Prairie Village, KS 66207 | 2007-02-06 |
| 1407994726 | Pauls Optical Company Inc | Technician/Technologist | 5352 W 95th St, Prairie Village, KS 66207 | 2007-02-01 |
| 1154484301 | The Endodontic P.C. | Dentist | 5600 West 95th St #216, Overland Park, KS 66207 | 2006-12-19 |
| Find all providers in zip 66207 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056400 | Benedictine College | Orthopaedic Surgery | 1020 N 2nd St Rm 103, Atchison, KS 66002-1402 | 2017-07-19 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1306982236 | Kansas University Physicians Inc | Orthopaedic Surgery | G022 Robinson Hall, Mail Stop 3017 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1932281714 | Christopher Cullen Eckland | Orthopaedic Surgery | 4940 W 137th St Ste B, Leawood, KS 66224-3633 | 2006-10-20 |
| 1972683548 | John G Yost Jr. | Orthopaedic Surgery | 307 N Hospital Dr Ste 3, Girard, KS 66743-2047 | 2006-10-17 |
| 1003809161 | Southeast Kansas Orthopedics & Sports Medicine | Orthopaedic Surgery | 321 East Main, Chanute, KS 66720 | 2005-08-24 |
| 1952947939 | Providence Medical Group | Orthopaedic Surgery | 8919 Parallel Pkwy Ste 555, Kansas City, KS 66112-3628 | 2019-11-25 |
| 1558881433 | Nathan Daniel Kasting | Orthopaedic Surgery | 400 S Santa Fe Ave, Salina, KS 67401-4144 | 2017-06-22 |
| 1861810137 | Brittany Joie Moore | Orthopaedic Surgery | 10777 Nall Ave Ste 300, Overland Park, KS 66211-1330 | 2014-04-02 |
| 1922358902 | Menorah Medical Group, LLC | Orthopaedic Surgery | 5701 W 119th St, Suite 308, Overland Park, KS 66209-3721 | 2012-09-17 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE VILLAGE |
| Zip Code | 66207 |
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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.