SAINT LUKES SOUTH HOSPITAL, INC. (NPI# 1790767812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790767812 |
| Entity Type | Organization |
| Organization Name | SAINT LUKES SOUTH HOSPITAL, INC. |
| Practice Address |
12300 Metcalf Ave Overland Park KS 66213-1324 |
| Mailing Address |
Po Box 503820 Saint Louis MO 63150-0001 |
| Practice Telephone | 9133177000 |
| Mailing Telephone | 9133177000 |
| Mailing Fax Number | 9133177000 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | MATTHEW MARINO (CFO) |
| Authorized Official Telephone | 8163474782 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT LUKES SOUTH HOSPITAL , INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 013990007 | 05 | |
| KS | 100332210A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303337 | Saint Lukes South Hospital, Inc. | General Acute Care Hospital | 12300 Metcalf Ave, Overland Park, KS 66213 | 2005-11-15 |
| Street Address |
12300 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231158 | Charles L Gerwick | Emergency Medicine | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2005-08-02 |
| 1548861537 | Erin Elizabeth Gillitzer | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-11-05 |
| 1245830496 | Alexandrea Ann Young | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-10-27 |
| 1952933822 | Samantha Boice | Physician Assistant | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-02-10 |
| 1659902880 | Barbara Diann Kelly | Nurse Practitioner | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-27 |
| 1023657574 | Elhonei K Alemu | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-02 |
| 1447800131 | Advanced Radiology Consultants of Kansas City, Pa | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-09-16 |
| 1336601335 | Saint Luke's South Hospital Inc. | Hospitalist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-04-01 |
| 1871009068 | Sharlene Marie Clary | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-12-25 |
| 1295253458 | Megan Kathleen Hartman | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841246154 | Midwest Division - Mmc, LLC | Rehabilitation Unit | 5721 W 119th St, Overland Park, KS 66209-3722 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407247919 | Amy Hartman | Rehabilitation Unit | 1367 Saratoga Rd, Wathena, KS 66090-4136 | 2015-02-05 |
| 1124274865 | Carolyn Hansen | Rehabilitation Unit | 600 Casson Hill Rd., Fort Riley, KS 66442 | 2008-08-13 |
| 1235193269 | Salina Regional Health Center, Inc. | Rehabilitation Unit | 400 S. Santa Fe, Salina, KS 67401 | 2006-04-14 |
| 1972582724 | University of Kansas Hospital Authority | Rehabilitation Unit | 3910 Rainbow Blvd, Kansas City, KS 66103-2918 | 2006-01-11 |
| 1922008895 | Ascension Via Christi Hospital Manhattan, Inc. | Rehabilitation Unit | 1823 College Ave, Manhattan, KS 66502-3381 | 2005-07-21 |
| 1669991675 | Topeka Hospital, LLC | Rehabilitation Unit | 1700 Sw 7th St, Topeka, KS 66606-2489 | 2017-09-12 |
| 1255699344 | Ascension Via Christi Hospital St Teresa Inc. | Rehabilitation Unit | 14800 W Saint Teresa St, Wichita, KS 67235-9602 | 2012-04-26 |
| 1316064538 | Key Rehabilitation Inc | Rehabilitation Unit | 801 S 8th St, Atchison, KS 66002-2724 | 2007-03-23 |
| 1093879868 | Pinnacle Health Facilities Xviii Lp | Rehabilitation Unit | 427 W Main St, Gardner, KS 66030-1183 | 2006-12-19 |
| 1154407344 | Geary County Hospital | Rehabilitation Unit | 1102 Saint Marys Rd, Junction City, KS 66441-4139 | 2006-10-31 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.