MARY T CHAMPION (NPI# 1760779722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760779722 |
Entity Type | Individual |
Full Name | MARY T CHAMPION |
Credential | MD |
Practice Address |
7400 State Line Rd Ste 100 Prairie Village KS 66208-3447 |
Practice Telephone | 9135886600 |
Practice Fax Number | 9135886655 |
Mailing Telephone | 9135886600 |
Mailing Fax Number | 9135886655 |
Enumeration Date | 2011-06-28 |
Last Update Date | 2019-02-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | 50228 | AZ | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 1 | KS | Allopathic & Osteopathic Physicians |
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
0439896 | KS | Allopathic & Osteopathic Physicians |
N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
50228 | AZ | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1750 E Glendale Ave, Phoenix, AZ 850205505 | 6022424928 | 6022494813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902926736 | Mary Clare Champion | Psychologist | 2018 Western Avenue, Knoxville, TN 37921 | 2007-03-29 |
Street Address |
7400 STATE LINE RD STE 100 |
City | PRAIRIE VILLAGE |
State | KS |
Zip Code | 66208-3447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114450566 | Travis Kimple | Ophthalmology | 7400 State Line Rd Ste 100, Prairie Village, KS 66208 | 2017-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023627940 | Arena Health LLC | Clinic/Center | 8010 Stateline Road, Suite 100, Prairie Village, KS 66208 | 2020-07-27 |
1780222414 | Tracy Licausi | Counselor | 4907 W 69th Ter, Prairie Village, KS 66208 | 2019-12-12 |
1699294959 | Meredith Arends | Physician Assistant | 2904 W 73rd Street, Prairie Village, KS 66208 | 2017-09-18 |
1861914616 | Pardeep Kaur Gill | Dentist | 7501 Mission Rd Ste 102, Prairie Village, KS 66208 | 2017-07-13 |
1366821977 | Wineteer, Inc. | Durable Medical Equipment & Medical Supplies | 3500 W 75th St, Suite 100, Prairie Village, KS 66208 | 2015-05-28 |
1972913374 | Julia Nguyen | Dentist | 7301 Mission Rd Ste 317, Prairie Village, KS 66208 | 2014-05-07 |
1063859650 | Joseph Charles Glenn | Chiropractor | 8016 State Line Rd, Suite 100, Leawood, KS 66208 | 2013-05-23 |
1104172337 | Julie Anne Budke | Psychologist | 3965 W 83rd Street Suite 233, Prairie Village, KS 66208 | 2012-07-25 |
1700149952 | Julia K Thomas | Specialist | 5111 W. 64th St, Prairie Village, KS 66208 | 2012-06-22 |
1255624227 | Carl S Cleveland Iv | Chiropractor | 8016 State Line Rd, Ste 100, Leawood, KS 66208 | 2011-05-24 |
Find all providers in zip 66208 |
Taxonomy Code | 207WX0107X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
Specialization | Retina Specialist |
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295020667 | Brooke Nesmith | Ophthalmology | 530 N Lorraine Ave Ste 200, Wichita, KS 67214-4837 | 2011-06-14 |
1376989202 | Thomas Allen Woltjer | Ophthalmology | 7717 E 29th St N Ste 100, Wichita, KS 67226 | 2013-05-19 |
1932174521 | Charles Joseph Beck | Ophthalmology | 7717 E 29th St N Ste 100, Wichita, KS 67226-3444 | 2006-02-17 |
City | PRAIRIE VILLAGE |
Zip Code | 66208 |
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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.