MENORAH MEDICAL GROUP, LLC (NPI# 1922358902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922358902 |
| Entity Type | Organization |
| Organization Name | MENORAH MEDICAL GROUP, LLC |
| Other Organization Name | KANSAS CITY SPINE & SPORTS MEDICINE CENTER |
| Practice Address |
5701 W 119th St Suite 308 Overland Park KS 66209-3721 |
| Mailing Address |
Po Box 741205 Atlanta GA 30374-1205 |
| Practice Telephone | 9134913724 |
| Practice Fax Number | 9134911281 |
| Mailing Telephone | 9134913724 |
| Mailing Fax Number | 9134911281 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | CINDY BERGMEIER (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 9134913724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kansas City Spine & Sports Medicine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386957223 | Menorah Medical Group, LLC | Internal Medicine | 5701 W 119th St, Suite 150, Overland Park, KS 66209-3721 | 2010-07-21 |
| Street Address |
5701 W 119TH ST SUITE 308 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426506 | John Lewis Dunlap | Internal Medicine | 5701 W 119th St, Ste 145, Overland Park, KS 66209-3722 | 2005-09-01 |
| 1326585399 | Carol Barkhurst | Nurse Practitioner | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 | 2017-01-27 |
| 1811356520 | Andrew Oyelere | Nurse Practitioner | 5701 W 119th St, Suite 320, Overland Park, KS 66209-3721 | 2016-02-23 |
| 1922466028 | Rachel Elise Hinkle | Nurse Practitioner | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 | 2016-02-03 |
| 1073970455 | Michael Brenton Murff | Nurse Practitioner | 5701 W 119th St, Ste 220, Overland Park, KS 66209-3721 | 2016-01-15 |
| 1750783866 | Tracy Coltharp | Nurse Practitioner | 5701 W 119th St, Ste 209, Overland Park, KS 66209-3749 | 2014-09-19 |
| 1467878355 | Lindsay Riley | Nurse Practitioner | 5701 W 119th St, Suite 135, Overland Park, KS 66209-3721 | 2014-03-15 |
| 1952730590 | Mary Shoemaker | Nurse Practitioner | 5701 W 119th St, Suite 120, Overland Park, KS 66209-3721 | 2013-11-04 |
| 1922348069 | Kc Hospitalists, Pa | Internal Medicine | 5701 W 119th St, Suite 135, Overland Park, KS 66209-3721 | 2013-02-27 |
| 1205198231 | Aimee Nicole Eidson | Hospitalist | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 | 2012-06-14 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679034722 | Oks Care of Ks, LLC | Orthopaedic Surgery | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| 1598226383 | Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | 12330 Metcalf Ave Ste 400, Overland Park, KS 66213-1307 | 2019-03-26 |
| 1043329147 | Kelly J Hendricks | Orthopaedic Surgery | 5701 W 119th St Ste 410, Overland Park, KS 66209-3721 | 2006-08-30 |
| 1750326922 | Aakash A. Shah | Orthopaedic Surgery | 10730 Nall Ave #200, Advanced Spine and Orthopaedic Specialists, Overland Park, KS 66211-9882 | 2006-06-19 |
| 1942297932 | Howard G Rosenthal | Orthopaedic Surgery | 12140 Nall Ave., Suite 200-a, Overland Park, KS 66209-2507 | 2005-10-04 |
| 1922090794 | Gregory R Van Den Berghe | Orthopaedic Surgery | 10777 Nall Ave, Suite 300, Overland Park, KS 66211-1231 | 2005-08-18 |
| 1487657409 | Robert L Pierron | Orthopaedic Surgery | 10600 Mastin St, Overland Park, KS 66212-5723 | 2005-05-23 |
| 1588125645 | Sks Care of Ks, LLC | Orthopaedic Surgery | 10650 Roe Ave, Overland Park, KS 66207-3907 | 2019-03-29 |
| 1508113622 | Precision Spine & Orthopaedic Specialists, LLC | Orthopaedic Surgery | 10777 Nall Ave, Suite 120, Overland Park, KS 66211-1362 | 2012-08-08 |
| 1215258736 | Michael Gabriel Azzam | Orthopaedic Surgery | 10701 Nall Ave, Ste 200, Overland Park, KS 66211 | 2010-06-18 |
| 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.