DR ETS CONCIERGE CARE LLC (NPI# 1841654258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841654258 |
| Entity Type | Organization |
| Organization Name | DR ETS CONCIERGE CARE LLC |
| Practice Address |
12140 Nall Ave Suite 305 Overland Park KS 66209-2503 |
| Practice Telephone | 9137353873 |
| Practice Fax Number | 9139486490 |
| Mailing Telephone | 9137353873 |
| Mailing Fax Number | 9139486490 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | DR. SUKUMAR ETHIRAJAN (PHYSICIAN) |
| Authorized Official Telephone | 9137353873 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0424799 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
12140 NALL AVE SUITE 305 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811988819 | Sajeev Balakrishnan Menon | Internal Medicine | 12140 Nall Ave, Suite 300, Overland Park, KS 66209 | 2005-10-31 |
| 1609312735 | Kc Core Ca LLC | Chiropractor | 12140 Nall Ave, Suite 115, Overland Park, KS 66209-2503 | 2017-01-12 |
| 1356700074 | Tara S Marchello | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209 | 2016-02-23 |
| 1164891966 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 | 2015-09-22 |
| 1164802666 | Mccallum Place | Clinic/Center | 12140 Nall Ave, Suite 315, Overland Park, KS 66209-2503 | 2015-06-01 |
| 1285065250 | Gretchen Huebert | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2013-12-02 |
| 1255768354 | Jill Soenen | Nurse Practitioner | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2013-10-03 |
| 1013356054 | Rebecca Bennett | Dietitian, Registered | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2013-06-24 |
| 1851737365 | Sandra T Hao | Internal Medicine | 12140 Nall Ave, Suite 300, Overland Park, KS 66209-2503 | 2013-05-13 |
| 1629230479 | David Frederick Clark | Psychiatry & Neurology | 12140 Nall Ave, Suite 230, Overland Park, KS 66209-2503 | 2008-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033408695 | University of Kansas Hospital Authority | Internal Medicine | 9200 Indian Creek Pkwy, Bldg 9 Ste. 300, Overland Park, KS 66210-2036 | 2011-04-05 |
| 1255302709 | Larry J. Geier | Internal Medicine | 13212 Barkley St, Overland Park, KS 66209-3912 | 2006-01-31 |
| 1073856738 | Simran Jyot Arora Elder | Internal Medicine | 9301 W 74th St Ste 100, Overland Park, KS 66204-2217 | 2013-04-01 |
| 1265695183 | Benjamin C Powers | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2008-07-10 |
| 1386806941 | Marc S Hoffmann | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2008-06-25 |
| 1225299126 | Gregory James Crane | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2008-06-23 |
| 1740453133 | Elizabeth W. Ng | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2008-04-08 |
| 1154399798 | Amy C. Rabe | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2006-03-09 |
| 1245202787 | Galen M. Custer | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2006-02-07 |
| 1750353256 | Stuart W. Hinton | Internal Medicine | 12200 W 110th St, Overland Park, KS 66210-4045 | 2006-02-07 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
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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.