DR. BRIAN J DIVELBISS (NPI# 1568429819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568429819 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J DIVELBISS |
| Credential | M.D. |
| Practice Address |
4320 Wornall Rd Suite 610 Kansas City MO 64111-5941 |
| Mailing Address |
3651 College Blvd Leawood KS 66211 |
| Practice Telephone | 9133197600 |
| Practice Fax Number | 8165314849 |
| Mailing Telephone | 9133197600 |
| Mailing Fax Number | 9132531702 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2011-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
04-29186 | KS | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
2001004437 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4320 WORNALL RD SUITE 610 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-5941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556215 | Paul W Jenkins Jr. | Physician Assistant | 4320 Wornall Rd, Ste 50-ii, Kansas City, MO 64111-5941 | 2005-05-24 |
| 1487187316 | Suzanne D Cummings | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2017-04-07 |
| 1992256069 | Jackie Wallman | Occupational Therapist | 4320 Wornall Rd, Suite 600, Kansas City, MO 64111-5941 | 2016-10-24 |
| 1053868877 | Chelsea J. Light | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-09-09 |
| 1730532250 | Brittany Lynn Walker | Registered Nurse | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2016-07-20 |
| 1184084535 | Justine Uryasz | Nurse Practitioner | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2016-02-28 |
| 1104290600 | Christina L Cooper | Registered Nurse | 4320 Wornall Rd, Suite 710, Kansas City, MO 64111-5941 | 2015-11-20 |
| 1295105914 | Rebecca Miller | Physician Assistant | 4320 Wornall Rd, Suite 304, Kansas City, MO 64111-5941 | 2015-10-07 |
| 1891179602 | Lauren Ann Ori | Physician Assistant | 4320 Wornall Rd, Suite 50, Kansas City, MO 64111-5941 | 2015-07-13 |
| 1053794263 | Emily Johnston | Nurse Practitioner | 4320 Wornall Rd, Suite 208, Kansas City, MO 64111-5941 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689821431 | Micah Katherine Sinclair | Orthopaedic Surgery | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-08-23 |
| 1982613261 | Tyler J Fox | Orthopaedic Surgery | 3901 Rainbow Blvd, Mail Stop 3017, Kansas City, KS 66160-8500 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732521 | Richard H Gelberman | Orthopaedic Surgery | 4921 Parkview Pl Ste 6a6b, Ste 6a/6b, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1427086933 | Paul Faud Nassab | Orthopaedic Surgery | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2006-06-30 |
| 1861990731 | Sebastien Lalonde | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2018-01-25 |
| 1932599354 | Sbkt Enterprises, LLC | Orthopaedic Surgery | 1000 Des Peres Rd, Suite 210, Saint Louis, MO 63131-2050 | 2015-01-24 |
| 1033456694 | Ozarks Medical Center | Orthopaedic Surgery | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2013-01-15 |
| 1235408170 | Rockhill Orthopaedic Specialists Inc | Orthopaedic Surgery | 120 Ne Saint Lukes Blvd, Suite 200, Lees Summit, MO 64086-6000 | 2011-12-21 |
| 1386954113 | David M Brown | Orthopaedic Surgery | 14825 N Outer 40 Rd, Suite 2005, Chesterfield, MO 63017-2152 | 2010-10-14 |
| 1851621460 | Tyler Randall Krummenacher | Orthopaedic Surgery | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7134 | 2010-01-04 |
| 1649508219 | Jun Yamanokuchi Matsui | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-11-19 |
| 1710115712 | David Micah Brogan | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-06-29 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.