DOUGLAS K WIESNER


Address: 10777 Nall Ave, Suite 320, Overland Park, KS 66211-1362
Phone: 9136632555

DOUGLAS K WIESNER (NPI# 1710925136) 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) 1710925136
Entity Type Individual
Full Name DOUGLAS K WIESNER
Credential ATC
Practice Address 10777 Nall Ave
Suite 320
Overland Park
KS 66211-1362
Mailing Address 10701 Nall Ave
Suite 130
Overland Park
KS 66211-1363
Practice Telephone 9136632555
Practice Fax Number 9133121781
Mailing Telephone 9136632555
Mailing Fax Number 9136633766
Enumeration Date 2006-06-04
Last Update Date 2010-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
24-00151 KS Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 10777 NALL AVE
SUITE 320
City OVERLAND PARK
State KS
Zip Code 66211-1362

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922090794 Gregory R Van Den Berghe Orthopaedic Surgery 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1231 2005-08-18
1598260762 Lindsey Michelle Brown Nurse Practitioner 10777 Nall Ave, Overland Park, KS 66211-1362 2018-03-28
1821536517 Marsha L. Eck Physical Therapist 10777 Nall Ave, Suite 320, Overland Park, KS 66211-1362 2017-02-02
1750827986 Kansas City Neurosurgery LLC Neurological Surgery 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1362 2017-01-11
1124570080 Signature Medical Group of Kc, Pa Durable Medical Equipment & Medical Supplies 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1362 2016-10-26
1093265142 Signature Medical Group of Kc Pa Physician Assistant 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1362 2016-10-12
1447708755 Signature Medical Group of Kc Pa Physician Assistant 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1362 2016-09-15
1669928438 Caitlin Dotson Physician Assistant 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1362 2016-08-31
1295188472 Julie A. Alexander Occupational Therapist 10777 Nall Ave, Ste 300, Overland Park, KS 66211-1362 2016-07-22
1649696261 Pinnacle Therapy Services LLC Durable Medical Equipment & Medical Supplies 10777 Nall Ave, Suite 320, Overland Park, KS 66211-1362 2014-03-06
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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 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144828781 Kim R Adkins Specialist/Technologist 8806 Riley St, Overland Park, KS 66212-2054 2020-10-15
1033677935 William Cameron Baker Specialist/Technologist 4710 W 139th Ter, Overland Park, KS 66224-3663 2019-03-09
1225508898 Keaghan Michelle Shacklett Specialist/Technologist 13747 Cody St., Overland Park, KS 66221 2018-11-27
1457829327 Emma Anne Corkill Specialist/Technologist 10700 Nall Ave, Overland Park, KS 66211-1206 2018-11-08
1083198261 Josh Hardy Specialist/Technologist 8302 W 125th St, Overland Park, KS 66213-1400 2018-09-24
1497239834 Krisha Kackley Specialist/Technologist 10790 Nall Ave, Overland Park, KS 66211-1206 2018-09-21
1679084578 Kaycee Adair Specialist/Technologist 10730 Nall Ave Ste 200, Overland Park, KS 66211-1285 2017-10-18
1295259174 Chelsea Leigh Nettle Specialist/Technologist 9111 Barton, Overland Park, KS 66214 2017-08-01
1083134506 Devon Hudspeth Specialist/Technologist 12302 Mackey St, Overland Park, KS 66213-1431 2017-06-26
1225491301 Randall Jackson Specialist/Technologist 9805 Bluejacket St, Overland Park, KS 66214-2347 2016-04-05
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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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