KEVIN J KOEHLER (NPI# 1568421758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568421758 |
| Entity Type | Individual |
| Full Name | KEVIN J KOEHLER |
| Credential | PA |
| Practice Address |
5701 W 119th St Ste 120 Overland Park KS 66209-3721 |
| Mailing Address |
5701 W 119th St Ste 430 Overland Park KS 66209-3721 |
| Practice Telephone | 9139060833 |
| Practice Fax Number | 9139060829 |
| Mailing Telephone | 8165237088 |
| Mailing Fax Number | 8165235747 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 2009025417 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0426923 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200257580A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Carondelet Dr, Ste 201b, Kansas City, MO 64114 | 8169437600 | 8169417456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093034746 | Kevin Koehler | Internal Medicine | 1970 Golf St, Sarasota, FL 34236-6908 | 2010-05-20 |
| 1417116229 | Kevin Scott Koehler | Emergency Medicine | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2008-06-06 |
| 1710955984 | Kevin Koehler | Family Medicine | 499 Gloster Creek Vlg, Suite D-1, Tupelo, MS 38801-4600 | 2006-03-14 |
| Street Address |
5701 W 119TH ST STE 120 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426506 | John Lewis Dunlap | Internal Medicine | 5701 W 119th St, Ste 145, Overland Park, KS 66209-3722 | 2005-09-01 |
| 1326585399 | Carol Barkhurst | Nurse Practitioner | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 | 2017-01-27 |
| 1811356520 | Andrew Oyelere | Nurse Practitioner | 5701 W 119th St, Suite 320, Overland Park, KS 66209-3721 | 2016-02-23 |
| 1922466028 | Rachel Elise Hinkle | Nurse Practitioner | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 | 2016-02-03 |
| 1073970455 | Michael Brenton Murff | Nurse Practitioner | 5701 W 119th St, Ste 220, Overland Park, KS 66209-3721 | 2016-01-15 |
| 1750783866 | Tracy Coltharp | Nurse Practitioner | 5701 W 119th St, Ste 209, Overland Park, KS 66209-3749 | 2014-09-19 |
| 1467878355 | Lindsay Riley | Nurse Practitioner | 5701 W 119th St, Suite 135, Overland Park, KS 66209-3721 | 2014-03-15 |
| 1952730590 | Mary Shoemaker | Nurse Practitioner | 5701 W 119th St, Suite 120, Overland Park, KS 66209-3721 | 2013-11-04 |
| 1922348069 | Kc Hospitalists, Pa | Internal Medicine | 5701 W 119th St, Suite 135, Overland Park, KS 66209-3721 | 2013-02-27 |
| 1922358902 | Menorah Medical Group, LLC | Orthopaedic Surgery | 5701 W 119th St, Suite 308, Overland Park, KS 66209-3721 | 2012-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922070101 | Robert Troy Stucker | Physician Assistant | 10701 Nall Ave, Suite 200, Overland Park, KS 66211-1231 | 2006-02-02 |
| 1225661317 | Surgikal Services | Physician Assistant | 10500 Quivira Rd, Overland Park, KS 66215-2306 | 2020-02-17 |
| 1447708755 | Signature Medical Group of Kc Pa | Physician Assistant | 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1362 | 2016-09-15 |
| 1265802284 | Rachel Miles | Physician Assistant | 12200 W 106th St Ste 400, Overland Park, KS 66215-2305 | 2015-10-02 |
| 1689003345 | Holly C Bachman | Physician Assistant | 10787 Nall Ave, Suite 220, Overland Park, KS 66211-1375 | 2013-11-04 |
| 1336420561 | Shannon K Hailey | Physician Assistant | 10777 Nall Ave Ste 300, Overland Park, KS 66211-1330 | 2011-09-01 |
| 1740216522 | Derek W Barnard | Physician Assistant | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675725 | Jordan Levi Walter | Physician Assistant | Associated Urologsits P A, 1133 College Ave G100, Manhattan, KS 66502-2756 | 2019-05-29 |
| 1316217102 | Tina L Lee | Physician Assistant | 15263 Sweetbriar Dr, Basehor, KS 66007-3031 | 2012-01-10 |
| 1407098395 | Kara Leigh-lawless Boyd | Physician Assistant | 3651 College Boulevard, Leawood, KS 66211 | 2009-03-24 |
| 1053446708 | Eastern Surgical Assistants, LLC | Physician Assistant | 16427 Metro Ave, Bonner Springs, KS 66012-7108 | 2007-02-22 |
| 1730223785 | Ty M. Taylor | Physician Assistant | 8321 Alden St, Lenexa, KS 66215-4213 | 2007-02-16 |
| 1366457038 | Gustav Thomas Riemer | Physician Assistant | 9119 W. 74th Street, Suite 354, Shawnee Mission Medical Building, Merriam, KS 66204 | 2006-07-30 |
| 1699795112 | Kenneth Brian Filsinger | Physician Assistant | 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 | 2006-07-20 |
| 1962435552 | Gregory Bryan De Laney | Physician Assistant | 1431 Bluffview St Ste 210, Wichita, KS 67218-3039 | 2006-07-08 |
| 1538122973 | Leah Alpers | Physician Assistant | 351 W 10th St, Hoisington, KS 67544-1715 | 2006-04-07 |
| 1275596611 | Anne Linenberger | Physician Assistant | 1514 K 96 Highway, Great Bend, KS 67530 | 2006-04-07 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
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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.