HEIDI P INTHAVONG (NPI# 1699713248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699713248 |
| Entity Type | Individual |
| Full Name | HEIDI P INTHAVONG |
| Practice Address |
6362 College Blvd Overland Park KS 66211-1506 |
| Practice Telephone | 9136632555 |
| Practice Fax Number | 9136633766 |
| Mailing Telephone | 9136632555 |
| Mailing Fax Number | 9136633766 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6362 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144267543 | Mary M Sauder | Physical Therapist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2006-06-02 |
| 1033718812 | Arc Physical Therapy Plus Lp | Durable Medical Equipment & Medical Supplies | 6362 College Blvd, Overland Park, KS 66211-1506 | 2020-10-22 |
| 1619582798 | Molly Warshaw | Physical Therapist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2020-09-15 |
| 1427618602 | Rebecca Mary Ferguson | Physical Therapist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2019-06-19 |
| 1760996482 | Rachel Word | Physical Therapist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2017-11-17 |
| 1235580275 | Samantha K Fuller | Occupational Therapist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2016-06-30 |
| 1275801821 | Jessica Jordan Upah | Specialist/Technologist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2011-12-11 |
| 1326081258 | Aaron Bruns | Specialist/Technologist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2006-06-14 |
| 1609819184 | Mark Mason | Physical Therapist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2006-06-13 |
| 1356382931 | Mary Sue Gilman | Physical Therapist | 6362 College Blvd, Overland Park, KS 66211-1506 | 2006-06-08 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447404058 | M A Balance Institute of Johnson County Kansas LLC | Specialist/Technologist | 7207 W 110th St, Overland Park, KS 66210-2339 | 2008-11-10 |
| 1316125818 | John Anthony Vivona | Specialist/Technologist | 10300 W 103rd St, Suite 300, Overland Park, KS 66214-2642 | 2008-02-06 |
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on HEIDI P INTHAVONG.
| 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.