SERGEY SHUSHUNOV


Address: Division of Pediatric Critical Care, 3901 Rainbow Blvd, Kansas City, KS 66160-0001
Phone: 9135886363

SERGEY SHUSHUNOV (NPI# 1588632681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588632681
Entity Type Individual
Full Name SERGEY SHUSHUNOV
Credential MD
Practice Address Division of Pediatric Critical Care
3901 Rainbow Blvd
Kansas City
KS 66160-0001
Mailing Address 3385 N Arlington Heights Rd.
Suite A
Arlington Heights
IL 60004
Practice Telephone 9135886363
Mailing Telephone 8479621858
Enumeration Date 2006-03-14
Last Update Date 2012-04-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
036070073 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL JOHN DEERE IL0104 01
IL BCBS 07215036 01
IL 036070073 05

Office Location

Street Address DIVISION OF PEDIATRIC CRITICAL CARE
3901 RAINBOW BLVD
City KANSAS CITY
State KS
Zip Code 66160-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215541594 Julian Diaz Abele Plastic Surgery 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 2020-09-03
1831650670 Autumn Brubaker Student in an Organized Health Care Education/Training Program 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 2019-03-26
1851886949 Adam Kahle Surgery 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 2018-06-29
1871086876 Mirna Asham Student in an Organized Health Care Education/Training Program Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 2018-06-13
1811491012 Daniel Martin Kolm Emergency Medicine 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 2018-03-21
1417451642 Heather Schopper Otolaryngology 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 2018-03-21
1508360207 Rachel Guest Student in an Organized Health Care Education/Training Program Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 2018-03-19
1891218541 Elizabeth Swarna Mukherjee Family Medicine 2000 Olathe Blvd, Kansas City, KS 66160 2017-07-24
1609304112 Zihan Masood Neurological Surgery The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 2017-05-28
1144752601 Lindsay Marie Baldridge Student in an Organized Health Care Education/Training Program 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 2017-04-03
Find all providers in zip 66160

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174966055 Stephen Pfeiffer Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2013-04-10
1992070189 Sarah Devlin Brunner Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2012-03-20
1255631867 Hammad Ashraf Ganatra Pediatrics 3901 Rainbow Blvd, Miller 2023, Kansas City, KS 66160 2010-10-29
1376785840 Jay Frederick Rilinger Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2009-03-30
1144438250 Francesca Perez Marques Pediatrics 3901 Rainbow Blvd, M 2023, Kansas City, KS 66160-8500 2007-05-21
1760510572 Brian Stevens Olsen Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2007-03-01
1598716243 Kelly S Tieves Pediatrics 2401 Gillham Rd, Children's Mercy Hospital, Kansas City, MO 64108-4619 2006-05-15
1497705933 Geoffrey L Allen Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-12
1356391189 John Fred Sommerauer Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-11
1053369686 Stephen A Klem Pediatrics 2401 Gillham Rd, Children's Mercy Hospital, Kansas City, MO 64108-4619 2006-05-05
Find all providers in KANSAS CITY

Competitor

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City KANSAS CITY
Zip Code 66160

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Dataset Information

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.

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