DR. JOHN E SUTPHIN JR. (NPI# 1891796462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891796462 |
| Entity Type | Individual |
| Full Name | DR. JOHN E SUTPHIN JR. |
| Other Name | DR. JOHN E SUTPHIN |
| Credential | MD |
| Practice Address |
7400 State Line Rd Suite 100 Prairie Village KS 66208-3444 |
| Mailing Address |
Po Box 411851 Kansas City MO 64141-1851 |
| Practice Telephone | 9135886600 |
| Practice Fax Number | 9135886655 |
| Mailing Telephone | 9135886606 |
| Mailing Fax Number | 9135880888 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0432154 | KS | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | G2860 | TX | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 29191 | IA | Allopathic & Osteopathic Physicians |
| N | 207WX0120X |
Ophthalmology Specialization: Cornea and External Diseases Specialist |
0432154 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE | E97E868A | 01 |
| KS | 2007407810A | 05 | |
| IA | WELLMARCK BCBS | 12483 | 01 |
| Street Address |
7400 STATE LINE RD SUITE 100 |
| City | PRAIRIE VILLAGE |
| State | KS |
| Zip Code | 66208-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154701951 | Merryl Jane Terry | Ophthalmology | 7400 State Line Rd, Prairie Village, KS 66208-3444 | 2015-06-05 |
| 1518303908 | Anjulie Quick | Internal Medicine | 7400 State Line Rd, Ophthalmology Dept, Prairie Village, KS 66208-3444 | 2013-05-13 |
| 1861732422 | Sarah Jane Noftzger | Technician/Technologist | 7400 State Line Rd, Suite 100, Prairie Village, KS 66208-3444 | 2013-02-19 |
| 1083952113 | Ku Eye Surgery & Laser Center, LLC | Clinic/Center | 7400 State Line Rd, Suite 212, Prairie Village, KS 66208-3444 | 2013-01-24 |
| 1750633103 | Mallory Kuhlmann Kuchem | Optometrist | 7400 State Line Rd, Prairie Village, KS 66208-3444 | 2012-10-10 |
| 1376711010 | Jason Aaron Sokol | Ophthalmology | 7400 State Line Rd, Suite 100, Prairie Village, KS 66208-3444 | 2008-02-15 |
| 1578775151 | Kansas University Physicians Inc | Ophthalmology | 7400 State Line Rd, Mail Stop 3009, Prairie Village, KS 66208 | 2007-05-04 |
| 1730225434 | Robert Charles Andrew Symons | Ophthalmology | 7400 State Line Rd, Prairie Village, KS 66208-3444 | 2007-01-29 |
| 1699831206 | Thomas J Whittaker | Ophthalmology | 7400 State Line Rd, Suite 100, Prairie Village, KS 66208-3444 | 2006-12-28 |
| 1730281247 | Dirck Louis Dekeyser | Optometrist | 7400 State Line Rd, Suite 100, Prairie Village, KS 66208-3444 | 2006-09-04 |
| Find all providers in the same location | ||||
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760779722 | Mary T Champion | Ophthalmology | 7400 State Line Rd Ste 100, Prairie Village, KS 66208-3447 | 2011-06-28 |
| 1326368408 | Raymond E Kandt Jr. | Ophthalmology | 4950 W 88th St, Prairie Village, KS 66207-2257 | 2010-06-10 |
| 1912168519 | William A White | Ophthalmology | 7500 State Line Road, Suite 100, Prairie Village, KS 66208 | 2008-06-17 |
| 1871517326 | Kevin E. Curran | Ophthalmology | 4145 Somerset Dr, Prairie Village, KS 66208-5242 | 2006-07-27 |
| 1689604688 | Joseph J. Parelman | Ophthalmology | 3830 W 75th St, Prairie Village, KS 66208-4128 | 2006-07-04 |
| 1568455830 | Stephen Urban Stechschulte | Ophthalmology | 9009 Roe Ave, Prairie Village, KS 66207-2202 | 2005-08-23 |
| 1114450566 | Travis Kimple | Ophthalmology | 7400 State Line Rd Ste 100, Prairie Village, KS 66208 | 2017-04-04 |
| 1154701951 | Merryl Jane Terry | Ophthalmology | 7400 State Line Rd, Prairie Village, KS 66208-3444 | 2015-06-05 |
| 1376711010 | Jason Aaron Sokol | Ophthalmology | 7400 State Line Rd, Suite 100, Prairie Village, KS 66208-3444 | 2008-02-15 |
| 1578775151 | Kansas University Physicians Inc | Ophthalmology | 7400 State Line Rd, Mail Stop 3009, Prairie Village, KS 66208 | 2007-05-04 |
| Find all providers in PRAIRIE VILLAGE | ||||
| 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.