SHAWNEE ORAL SURGERY, LC (NPI# 1598998130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598998130 |
| Entity Type | Organization |
| Organization Name | SHAWNEE ORAL SURGERY, LC |
| Practice Address |
6844 Silverheel Street Shawnee KS 66226-5300 |
| Practice Telephone | 9139487766 |
| Practice Fax Number | 9139487769 |
| Mailing Telephone | 9139487766 |
| Mailing Fax Number | 9139487769 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2010-07-01 |
| Authorized Official Name | PHILIP C GAUS (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 7859799494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100224610F | 05 |
| Street Address |
6844 SILVERHEEL STREET |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66226-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598792 | Kaitlyn Nicole Jackman | Specialist/Technologist | 6320 Anderson St, Shawnee, KS 66226 | 2018-11-27 |
| 1912436379 | Alexandra Snyder | Behavioral Analyst | 23714 W. 54th Terr., Shawnee, KS 66226 | 2017-06-08 |
| 1992179741 | Melanie Miller | Nurse Practitioner | 5211 Woodsonia Dr, Shawnee, KS 66226 | 2015-11-17 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1093974529 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 22700 W 55th Terrace, Shawnee, KS 66226 | 2008-06-09 |
| 1194811620 | William Schmidt | Physician Assistant | 6850 Hilltop Road, Suite 170, Shawnee, KS 66226 | 2006-10-04 |
| 1205280450 | Emily Meyer | Dentist | 6810 Silverheel St, Shawnee, KS 66226 | 2016-04-13 |
| 1013352384 | Honeyman Investments LLC | Eyewear Supplier (Equipment, not the service) | 5433 Roberts Street, Shawnee, KS 66226 | 2013-05-01 |
| 1457429524 | Steven D Rettinger | Family Medicine | 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226 | 2006-11-30 |
| Find all providers in zip 66226 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164914982 | Wichita Oral Surgery LLC | Clinic/Center | 12611 E 21st St N, Wichita, KS 67206-3594 | 2018-06-06 |
| 1548432628 | Southwest Oral & Maxillofacial Surgery LLC | Clinic/Center | 311 Campus Dr, Suite 101, Garden City, KS 67846-6294 | 2008-03-28 |
| 1871014738 | Christopher M. Harris, Dmd, Md, Pa | Clinic/Center | 1919 N Webb Rd, Wichita, KS 67206-3405 | 2017-06-30 |
| 1043629264 | Manhattan Oral Surgery & Implant Center | Clinic/Center | 1133 College Ave, C200, Manhattan, KS 66502-2770 | 2014-08-13 |
| 1144304643 | Oral Surgery Kansas, Lc | Clinic/Center | 308 Maine St, Lawrence, KS 66044 | 2006-10-24 |
Please comment or provide details below to improve the information on SHAWNEE ORAL SURGERY, LC.
| 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.