STEPHENS ADVANCED WOUNDCARE LLC (NPI# 1699033233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699033233 |
| Entity Type | Organization |
| Organization Name | STEPHENS ADVANCED WOUNDCARE LLC |
| Practice Address |
10000 Wornall Rd Kansas City MO 64114-4359 |
| Practice Telephone | 8169420994 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |
| Authorized Official Name | THAD A. STEPHENS (PRESIDENT) |
| Authorized Official Telephone | 9135268813 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
102147 | MO | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 102147 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
10000 WORNALL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013018399 | Kansas City United Methodist Retirement Home, Inc. | Assisted Living Facility | 10000 Wornall Rd, Kansas City, MO 64114-4359 | 2006-09-26 |
| 1750923876 | Autumn Moore | Speech-Language Pathologist | 10000 Wornall Rd, Kansas City, MO 64114-4359 | 2019-10-09 |
| 1487135224 | Lauren Landry Corey | Speech-Language Pathologist | 10000 Wornall Rd, Kansas City, MO 64114-4359 | 2018-08-28 |
| 1821531153 | Gilda Enfield | Physical Therapist | 10000 Wornall Rd, Kansas City, MO 64114-4359 | 2016-11-17 |
| 1124360540 | William Carl Bates | Occupational Therapist | 10000 Wornall Rd, Kansas City, MO 64114-4359 | 2013-03-24 |
| 1134250889 | James William Dugan | Psychologist | 10000 Wornall Rd, Kansas City, MO 64114-4359 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1013210301 | John Henry Beckett | Emergency Medicine | 9415 Ne 91st St, Kansas City, MO 64157-8663 | 2010-12-08 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
| 1639494412 | Lukuman Olumide Afuwape | Emergency Medicine | 2411 Holmes St # M2-302, Umkc School of Medicine Residency Program, Kansas City, MO 64108-2741 | 2010-04-05 |
| 1639365687 | Blaine Mitsuyuki Okino | Emergency Medicine | 920 Main St Ste 300, Kansas City, MO 64105-2008 | 2007-09-23 |
| 1487712808 | Adedapo Adeyemi Oduye | Emergency Medicine | 1600 Genessee St, 561, Kansas City, MO 64102-1039 | 2006-12-05 |
| 1235297920 | Preston Brent Koprivica | Emergency Medicine | 10127 Leavenworth Rd, Kansas City, KS 66109-3050 | 2006-12-05 |
| 1487749859 | Shane Randall Christensen | Emergency Medicine | 7900 Lees Summit Road, Kansas City, MO 66139 | 2006-10-03 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.