KANSAS CITY VASCULAR & GENERAL SURGERY GROUP LLC


Address: 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366
Phone: 9137542800

KANSAS CITY VASCULAR & GENERAL SURGERY GROUP LLC (NPI# 1619291812) 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) 1619291812
Entity Type Organization
Organization Name KANSAS CITY VASCULAR & GENERAL SURGERY GROUP LLC
Practice Address 10730 Nall Ave
Suite 101
Overland Park
KS 66211-1366
Practice Telephone 9137542800
Mailing Telephone 9137542800
Enumeration Date 2010-03-17
Last Update Date 2010-03-17
Authorized Official Name PATRICK KUENY (VP)
Authorized Official Telephone 9137542800
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295968865 Kansas City Vascular & General Surgery Group LLC Surgery 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366 2009-08-31

Office Location

Street Address 10730 NALL AVE
SUITE 101
City OVERLAND PARK
State KS
Zip Code 66211-1366

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407851066 Brian L Mccroskey Surgery 10730 Nall Ave, Ste 101, Overland Park, KS 66211-1242 2005-06-20
1114465457 Elizabeth Bertschy Nurse Practitioner 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366 2017-02-07
1215489034 Shannon Zolla Specialist/Technologist 10730 Nall Ave, Overland Park, KS 66211-1366 2016-10-27
1265816755 Laboratory Corporation of America Holdings Clinical Medical Laboratory 10730 Nall Ave, Suite 100, Overland Park, KS 66211-1366 2015-07-14
1225435464 Ryan Sloop Specialist/Technologist 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 2014-12-03
1285031476 Briana Fugitt Point of Service 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 2014-12-03
1336546555 Suzanna Butz Point of Service 10730 Nall Ave, 200, Overland Park, KS 66211-1366 2014-12-03
1629319363 Jennifer Dawn Sherrick Nurse Practitioner 10730 Nall Ave, Ste 101, Overland Park, KS 66211-1366 2013-03-05
1063758191 Physicians Reference Laboratory LLC Pathology 10730 Nall Ave, Ste 100, Overland Park, KS 66211-1366 2012-12-18
1174867998 Matthew Blair Way Specialist/Technologist 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 2012-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336611821 Baillie Rose Woydziak Social Worker 5805 W 110th Street, Overland Park, KS 66211 2018-12-20
1467920389 Ku Medwest Ambulatory Surgery Center, LLC Clinic/Center 10720 Nall Avenue, Overland Park, KS 66211 2018-11-08
1235615931 Janice Carollo Physical Therapy Assistant 11611 Granada Lane, Leawood, KS 66211 2018-07-16
1720572555 Trevor Lee Elmer Physical Therapist 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 2018-06-15
1043746555 Overland Park Surgical Suites, LLC Clinic/Center 6650 W 110th St Ste 300, Overland Park, KS 66211 2017-05-03
1619313665 Vcphcs Xiv, LLC Clinic/Center 6331 W. 110th Street, Overland Park, KS 66211 2013-05-17
1528334950 Scott Anthony Hardouin Surgery 5100 W 110th St Unit 300, Overland Park, KS 66211 2012-03-29
1386917003 Children's Physical Therapy Associates Physical Therapist 6600 College Boulevard, Suite 307, Overland Park, KS 66211 2012-02-10
1871876250 Amber Diane Dalzell Social Worker 10965 Granada Ln Ste 102, Overland Park, KS 66211 2011-09-22
1912298001 Stephen Vincent Hiatt Orthopaedic Surgery 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 2011-04-25
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528334950 Scott Anthony Hardouin Surgery 5100 W 110th St Unit 300, Overland Park, KS 66211 2012-03-29
1295968865 Kansas City Vascular & General Surgery Group LLC Surgery 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366 2009-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902223787 Mcclure Medical Practice, Pa Surgery 901 Main St, Suite 101, Winfield, KS 67156-3604 2014-03-18
1194983114 Jenny Grace Cho Surgery 7420 Switzer, Shawnee, KS 66203-1239 2008-05-27
1215121744 Heartland Surgery, Pa Surgery 1431 S Bluffview Dr, Ste #209, Wichita, KS 67218-3039 2007-08-28
1164633921 Ousama Masannat Surgery 3901 Rainbow Blvd, Ms 1045, Kansas City, KS 66160-0001 2007-05-24
1033325352 Lawrence Vascular Surgery Surgery 325 Maine St, Lawrence, KS 66044-1360 2007-05-15
1710012257 Hays Medical Center, Inc. Surgery 2214 Canterbury Dr, Suite 304, Hays, KS 67601-2386 2007-02-23
1285773655 Craig I. Schwartz, D.o., P.a. Surgery 11409 Ash St, Suite B, Leawood, KS 66211-1682 2007-02-05
1093868457 Richard S. Toon, M.d., P.a. Surgery 2600 N Woodlawn St, Wichita, KS 67220-2729 2007-01-19
1699783225 Peter J Tutuska Surgery 830 Sw Mulvane St, Topeka, KS 66606-1654 2006-08-03
1699722900 Tallgrass General, Vascular & Thoracic Surgery Surgery 6001 Sw 6th Ave, Suite 220, Topeka, KS 66615-1011 2006-05-30
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Competitor

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City OVERLAND PARK
Zip Code 66211

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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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