SHAWNEE MISSION OPEN MRI, LLC (NPI# 1962543512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962543512 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MISSION OPEN MRI, LLC |
| Practice Address |
8877 W 75th St Overland Park KS 66204-2206 |
| Practice Telephone | 9139019988 |
| Practice Fax Number | 9136428909 |
| Mailing Telephone | 9139019988 |
| Mailing Fax Number | 9136428909 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICK STUBBS (OPERATION MANAGER) |
| Authorized Official Telephone | 9139019988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
8877 W 75TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66204-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568927184 | Steven Keller | Physical Therapist | 8877 W 75th St, Overland Park, KS 66204-2206 | 2019-02-07 |
| 1457880478 | Nathan Douglas Kalberer | Physical Therapist | 8877 W 75th St, Overland Park, KS 66204-2206 | 2017-06-05 |
| 1063861425 | Dana E Stumpff | Physical Therapist | 8877 W 75th St, Overland Park, KS 66204-2206 | 2016-06-07 |
| 1902269681 | Krista Johnson | Physical Therapist | 8877 W 75th St, Overland Park, KS 66204 | 2016-03-31 |
| 1174758593 | Matthew Kent Stensrud | Physical Therapist | 8877 W 75th St, Overland Park, KS 66204-2206 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346783008 | Saint Luke's Neighborhood Clinics, LLC | Radiology | 4061 Indian Creek Pkwy Ste 110, Overland Park, KS 66207-4030 | 2016-11-29 |
| 1528216090 | Jeffrey Tsai | Radiology | 6800 W. 138th Terrace, Apt 911, Overland Park, KS 66223-7816 | 2008-09-08 |
| 1992926406 | Christopher Mckinney | Radiology | 6650 W 110th St Ste 100, Overland Park, KS 66211 | 2007-05-01 |
| 1720135114 | Johnson County Imaging Center, Inc | Radiology | 11717 W 112th St, Overland Park, KS 66210-2761 | 2007-01-05 |
| 1922012574 | Thomas P Sweeney | Radiology | 4801 W 100th St, Ste 100, Overland Park, KS 66211 | 2006-07-28 |
| 1467466029 | Jay I Rozen | Radiology | 4801 West 100th Street, Suite 100, Overland Park, KS 66211 | 2006-07-28 |
| 1821012253 | Graham K Lee | Radiology | 4801 W 110th St, Ste 100, Overland Park, KS 66211-1347 | 2006-07-27 |
| 1619994381 | Donald R Germann | Radiology | 4801 West 100th St, Ste 100, Overland Park, KS 66211 | 2006-07-17 |
| 1992768683 | Regional Imaging, LLC | Radiology | 8000 College Blvd, Overland Park, KS 66210-1822 | 2006-04-11 |
| 1720059991 | Ralph Warren Richardson | Radiology | 8000 W 110th St Ste 150, Overland Park, KS 66210-2382 | 2006-01-27 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66204 |
Please comment or provide details below to improve the information on SHAWNEE MISSION OPEN MRI, LLC.
| 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.