RICHARD DAVID ROLSTON (NPI# 1821021866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821021866 |
| Entity Type | Individual |
| Full Name | RICHARD DAVID ROLSTON |
| Credential | MD |
| Practice Address |
4061 Indian Creek Pkwy Overland Park KS 66207 |
| Mailing Address |
4061 Indian Creek Pkwy Overland Park KS 66207-4030 |
| Practice Telephone | 9133234600 |
| Practice Fax Number | 9133234748 |
| Mailing Telephone | 9133234600 |
| Mailing Fax Number | 9133234748 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 04-41456 | KS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 48853 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34826100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12809 W Dodge Rd, Omaha, NE 681542155 | 4023434506 | 4023434333 |
| Street Address |
4061 INDIAN CREEK PKWY |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174596803 | Kristin Elizabeth Humphreys | Internal Medicine | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2006-02-13 |
| 1427664283 | Saint Lukes Physician Group Inc | Family Medicine | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2020-09-17 |
| 1457814022 | Catherine Cook | Registered Nurse | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2019-04-10 |
| 1043704448 | Sarah E Ermer | Registered Nurse | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2018-06-19 |
| 1649770850 | Mary Ferrall Ney | Registered Nurse | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2018-02-14 |
| 1972043271 | Saint Lukes South Hospital Inc | Pharmacy | 4061 Indian Creek Pkwy, Suite 120, Overland Park, KS 66207-4030 | 2017-03-06 |
| 1174915946 | Sara Romi | Nurse Practitioner | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2015-03-03 |
| 1144625914 | Alisha Kaye Wilson | Nurse Practitioner | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2014-10-23 |
| 1295140267 | Jacqueline Harrison | Family Medicine | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2014-06-27 |
| 1376807917 | Matthew C. Fink | Dermatology | 4061 Indian Creek Pkwy, Overland Park, KS 66207-4030 | 2012-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699301077 | Koeneman Psychological Services, LLC | Community/Behavioral Health | 5750 W. 95th St. Suite 220, Overland Park, KS 66207 | 2020-03-18 |
| 1104207091 | Michael O'bryan | Internal Medicine | 5100 Indian Creek Pkwy, Overland Park, KS 66207 | 2015-06-16 |
| 1134509243 | Milburn Wheatley Hobson | Obstetrics & Gynecology | Residence 5467 W. 85 Ter., Prairie Village, KS 66207 | 2015-06-03 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1831301340 | Andrew Van Blarcom, Dds, Pa | Dentist | 5000 West 95th Street, Suite Number 290, Prairie Village, KS 66207 | 2007-05-04 |
| 1336270115 | Edward D. Dallam | Dentist | 5000 W 95th St Ste 300, Prairie Village, KS 66207 | 2007-03-07 |
| 1245379809 | Willa J Kozlowski | Counselor | 5350 W. 94th Terrrace, Suite 204, Prairie Village, KS 66207 | 2007-02-06 |
| 1407994726 | Pauls Optical Company Inc | Technician/Technologist | 5352 W 95th St, Prairie Village, KS 66207 | 2007-02-01 |
| 1154484301 | The Endodontic P.C. | Dentist | 5600 West 95th St #216, Overland Park, KS 66207 | 2006-12-19 |
| Find all providers in zip 66207 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245694181 | Alicia Christina Wolfe | Pediatrics | 12541 Foster St Ste 260, Overland Park, KS 66213-2301 | 2016-04-06 |
| 1467863498 | Allison Marie Hadley | Pediatrics | 8675 College Blvd Ste 100, Overland Park, KS 66210-1863 | 2014-05-13 |
| 1134473192 | James Joseph O'bryan | Pediatrics | 10815 W 104th St, Overland Park, KS 66214-3052 | 2012-10-30 |
| 1013278506 | Fred Fletcher Roberts | Pediatrics | 5610 W 131st Ter, Overland Park, KS 66209-2925 | 2012-05-31 |
| 1235413030 | Isaac J Kennedy | Pediatrics | 10500 Quivira Road, Pediatric Emergency Medicine, Overland Park, KS 66215 | 2011-09-28 |
| 1942339106 | Elizabeth Sorrells Peterson | Pediatrics | 7311 W 132nd St, Suite 190, Overland Park, KS 66213-1118 | 2007-03-05 |
| 1346259033 | Lauren Olson | Pediatrics | 5805 W 110th St, Overland Park, KS 66211 | 2006-08-05 |
| 1396771838 | Pediatric Care Specialists, Pa | Pediatrics | 12541 Foster, Suite 260, Overland Park, KS 66213-1324 | 2006-06-25 |
| 1194782854 | Lara Sullivan | Pediatrics | 14300 Metcalf Ave, Ste. 122, Overland Park, KS 66223-2987 | 2006-04-27 |
| 1194781187 | Marsha Dannenberg | Pediatrics | 6750 W 135th St, Overland Park, KS 66223-4802 | 2006-04-26 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66207 |
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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.