BODY GUITAR, LLC (NPI# 1790208304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790208304 |
| Entity Type | Organization |
| Organization Name | BODY GUITAR, LLC |
| Other Organization Name | BODY GUITAR CLINIC |
| Practice Address |
11040 Oakmont St Overland Park KS 66210-1100 |
| Practice Telephone | 9132912819 |
| Practice Fax Number | 9132911506 |
| Mailing Telephone | 1392912819 |
| Mailing Fax Number | 9132911506 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | SEAN MATTHEW WHEELER (PRESIDENT) |
| Authorized Official Telephone | 9139800832 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
0427357 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KS MEDICAL LICENSE | 04-27357 | 01 |
| Other Name | Type Code |
|---|---|
| Body Guitar Clinic | Doing Business As Name - Organization |
| Street Address |
11040 OAKMONT ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033694856 | Zachary Charles Watt | Nurse Practitioner | 11040 Oakmont St, Overland Park, KS 66210-6621 | 2018-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629699038 | Optima Pain Management LLC | Physical Medicine & Rehabilitation | 6650 W 110th St Ste 210, Overland Park, KS 66211-1501 | 2020-04-27 |
| 1356667778 | Advantage Spine and Pain Care, Inc. | Physical Medicine & Rehabilitation | 14720 Metcalf Ave, Suite 160, Overland Park, KS 66223 | 2010-04-09 |
| 1366569287 | Metro Spine & Rehab, P.a. | Physical Medicine & Rehabilitation | 10777 Nall Ave, Suite 120, Overland Park, KS 66211-1231 | 2007-03-24 |
| 1366498867 | Zhengyu Hu | Physical Medicine & Rehabilitation | 10600 Quivira Rd, Suite 470, Overland Park, KS 66215-2309 | 2006-05-26 |
| 1184682429 | Joseph F Galate | Physical Medicine & Rehabilitation | 10777 Nall Ave, Suite 120, Overland Park, KS 66211-1231 | 2006-05-03 |
| 1376530683 | Sean M Wheeler | Physical Medicine & Rehabilitation | 11725 W 112th St, Overland Park, KS 66210-2761 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457515041 | James N Warren Md PC | Physical Medicine & Rehabilitation | 2900 Sw Atwood Ave Ste C, Topeka, KS 66614-2856 | 2008-07-14 |
| 1437582020 | Hospital District No. 1 of Dickinson County, Kansas | Physical Medicine & Rehabilitation | 511 Ne 10th St, Abilene, KS 67410-2153 | 2013-08-19 |
| 1194060954 | Mobile Wound Care L.L.C. | Physical Medicine & Rehabilitation | 2260 N Ridge Rd, Suite 100, Wichita, KS 67205-1132 | 2012-12-05 |
| 1245506302 | Wichita Rehab and Wellness L.l.c | Physical Medicine & Rehabilitation | 2260 N Ridge Rd, Suite 100, Wichita, KS 67205-1132 | 2012-03-22 |
| 1649326992 | Rajorshi Mitra | Physical Medicine & Rehabilitation | 3901 Rainbow Blvd, 4019 Delp, Mail Stop 4017, Kansas City, KS 66160-8500 | 2007-01-26 |
| City | OVERLAND PARK |
| Zip Code | 66210 |
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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.