SKS CARE OF KS, LLC (NPI# 1588125645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588125645 |
Entity Type | Organization |
Organization Name | SKS CARE OF KS, LLC |
Practice Address |
10650 Roe Ave Overland Park KS 66207-3907 |
Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
Practice Telephone | 6153860064 |
Mailing Telephone | 6153860064 |
Enumeration Date | 2019-03-29 |
Last Update Date | 2019-03-29 |
Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
Authorized Official Telephone | 6157332064 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
Street Address |
10650 ROE AVE |
City | OVERLAND PARK |
State | KS |
Zip Code | 66207-3907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679034722 | Oks Care of Ks, LLC | Orthopaedic Surgery | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
1609483700 | Candid Kansas, P.a. | Dentist | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2020-09-23 |
1073074126 | Cks Care of Ks, LLC | Internal Medicine | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
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 | 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 |
---|---|---|---|---|
1205884889 | John M Ciccarelli | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-05 |
1942268289 | Premier Spine Care, P.a. | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-03 |
1114985355 | Adrian P Jackson | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285616649 | Alan Moskowitz | Orthopaedic Surgery | 7550 W Village Cir, Ste. 1, Wichita, KS 67205-9363 | 2005-11-18 |
1811979271 | Mark Camden Whitaker | Orthopaedic Surgery | 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 | 2005-11-18 |
1932495769 | Joshua Thomas Bunch | Orthopaedic Surgery | 3901 Rainbow Blvd # Ms 3017, Kansas City, KS 66160-1902 | 2011-06-20 |
1982912622 | Max Franco De Carvalho | Orthopaedic Surgery | 2500 Canterbury Dr, Hays, KS 67601-2247 | 2010-09-15 |
1841432937 | Theodore Damian Koreckij | Orthopaedic Surgery | 3651 College Blvd, Leawood, KS 66211-1910 | 2009-04-03 |
1639335490 | Steven Thomas Ericksen | Orthopaedic Surgery | 7550 West Village Circle, Ste. 1, Wichita, KS 67205 | 2008-07-31 |
1114954740 | Charles D Pence | Orthopaedic Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-27 |
1487626982 | Christopher C Kain | Orthopaedic Surgery | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2006-02-07 |
1043290679 | Kris Lewonowski | Orthopaedic Surgery | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2006-01-19 |
City | OVERLAND PARK |
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.