NORTHLAND DERMATOLOGY LLC (NPI# 1639573561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639573561 |
| Entity Type | Organization |
| Organization Name | NORTHLAND DERMATOLOGY LLC |
| Practice Address |
6352 N Cosby Ave Kansas City MO 64151-2344 |
| Practice Telephone | 8169773677 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |
| Authorized Official Name | DR. CHRISTOPHER ROBERT ROUSE (DERMATOLOGIST) |
| Authorized Official Telephone | 8169773975 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
LC001419345 | MO | Ambulatory Health Care Facilities |
| Street Address |
6352 N COSBY AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64151-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275734022 | Christopher Robert Rouse | Dermatology | 6352 N Cosby Ave, Kansas City, MO 64151-2344 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033813 | Jonene Jaynes | Technician | 5002 Nw Martin Dr, Platte County, MO 64151 | 2019-10-01 |
| 1033636956 | Autism Support Now, LLC | Behavioral Analyst | 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 | 2017-08-23 |
| 1699205211 | Alma C Batchelor | Behavior Technician | 5863 Nw 72nd Street, Kansas City, MO 64151 | 2017-06-15 |
| 1588015291 | Freedom Care, LLC | Home Health Aide | 5727 N. Ames Ave, Kansas, MO 64151 | 2016-06-23 |
| 1164701827 | Richard Alan Pelaar | Counselor | 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 | 2011-08-12 |
| 1013238708 | Kodi Lee Watson | Dietitian, Registered | 8301 N St. Clair Ave, Kansas City, MO 64151 | 2010-06-16 |
| 1821296294 | Andy Mackey | Durable Medical Equipment & Medical Supplies | 5100 Nw Waukomis, Northmoor, MO 64151 | 2007-07-06 |
| 1629138185 | George Thomas Mcneish II | Dentist | 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 | 2006-12-12 |
| 1649345091 | Comfort Plus Shoes & Footcare | Durable Medical Equipment & Medical Supplies | 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 | 2006-11-21 |
| 1457456931 | Steve Bull Cain | Dentist | 7120 Nw Prairie View Rd, Kansas City, MO 64151 | 2006-09-13 |
| Find all providers in zip 64151 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043625460 | Kobler Chiropractic and Acupuncture LLC | Clinic/Center | 500 Nw Englewood Rd, Kansas City, MO 64118-3960 | 2014-06-24 |
| 1063613057 | Logan & Peterson, PC | Clinic/Center | 428 W 42nd St, Kansas City, MO 64111-3176 | 2007-05-29 |
| 1497367361 | Mohab LLC | Clinic/Center | 2100 Nw Barry Rd, Kansas City, MO 64154-1000 | 2020-08-20 |
| 1457867905 | Sivakoti R Katta, LLC | Clinic/Center | 8919 Parallel Pkwy Ste 215, Kansas City, KS 66112-1655 | 2017-12-20 |
| 1982114302 | Affinity Sports Medicine, LLC | Clinic/Center | 9501 N Oak Trfy, Ste 280, Kansas City, MO 64155 | 2017-10-11 |
| 1578002713 | Northland Orthopedics & Sports Medicine, LLC | Clinic/Center | 5844 Nw Barry Rd, Ste 320, Kansas City, MO 64154-1465 | 2017-02-21 |
| 1477948073 | Kansas City Cardiology | Clinic/Center | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2015-03-31 |
| 1831435619 | Global Health Chiropractic LLC | Clinic/Center | 751 E 63rd St, Suite 110, Kansas City, MO 64110-3385 | 2012-12-22 |
| 1538475777 | Daniel D. Weed, M.d., P.C. | Clinic/Center | 9411 N Oak Trfy, 240, Kansas City, MO 64155-2233 | 2010-08-25 |
| 1558696294 | Carl Lfalcone Md PC | Clinic/Center | 2300 Hutton Rd, Suite 106, Kansas City, KS 66109-4436 | 2009-10-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64151 |
Please comment or provide details below to improve the information on NORTHLAND DERMATOLOGY LLC.
| 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.