STEPHANIE LYNN DE VERE (NPI# 1477102382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477102382 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN DE VERE |
| Other Name | STEPHANIE LYNN KOSKAMP |
| Credential | MD |
| Practice Address |
2000 Se Blue Pkwy Ste 230 Lees Summit MO 64063-1044 |
| Practice Telephone | 8165252840 |
| Mailing Telephone | 8165252840 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
2019006409 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2000 SE BLUE PKWY STE 230 |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316445646 | Allyson Gar-mei Ng | Specialist/Technologist | 2000 Se Blue Pkwy Ste 230, Lees Summit, MO 64063-1044 | 2018-02-01 |
| 1487295366 | Madison Schlenger | Physician Assistant | 2000 Se Blue Pkwy Ste 230, Lees Summit, MO 64063-1044 | 2019-10-02 |
| 1487118634 | Mohammad Adnan Saithna | Orthopaedic Surgery | 2000 Se Blue Pkwy Ste 230, Lees Summit, MO 64063-1044 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740839893 | Midwest Orthopedic and Spine Specialists | Orthopaedic Surgery | 14825 N Outer 40 Rd Ste 310, Chesterfield, MO 63017-2152 | 2019-09-10 |
| 1396305348 | Advanced Spine Institute LLC | Orthopaedic Surgery | 3009 N Ballas Rd Ste 320a, Saint Louis, MO 63131-2324 | 2019-06-20 |
| 1871092882 | Spine Cin of Kansas City LLC | Orthopaedic Surgery | 111 W 10th St Ste 101, Kansas City, MO 64105-1700 | 2018-02-05 |
| 1689173692 | Spine Cin of St Louis LLC | Orthopaedic Surgery | 11628 Old Ballas Rd # 344, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1881193894 | Optimal Health of Mo, LLC | Orthopaedic Surgery | 11628 Old Ballas Rd # 345, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1386010684 | St. Peters Bone & Joint Surgery, Inc. | Orthopaedic Surgery | 4651 Hwy K, O'fallon, MO 63368 | 2015-08-20 |
| 1548317118 | David K. Ebelke | Orthopaedic Surgery | 2750 Clay Edwards Dr Ste 600, North Kansas City, MO 64116-3258 | 2007-01-04 |
| 1497802060 | Spine Surgery, Ltd. | Orthopaedic Surgery | 2790 Clay Edwards Dr Ste 630, North Kansas City, MO 64116 | 2007-01-04 |
| 1043315385 | John D Spears | Orthopaedic Surgery | 1616 Southridge Dr, Ste 202, Jefferson City, MO 65109-5677 | 2006-09-13 |
| 1952364796 | Donald A Degrange | Orthopaedic Surgery | 621 S New Ballas Rd Ste 142a, Saint Louis, MO 63141-8254 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
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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.