Brian Divelbiss (NPI# 1568429819, PAC ID# 3274638861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
| Nation Provider ID (NPI) | 1568429819 |
| PAC ID by PECOS | 3274638861 |
| Professional Enrollment ID | I20100315000470 |
| Full Name | Brian Divelbiss |
| Organization Legal Name | DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC |
| Address |
3651 College Blvd Leawood KS 66211-1910 |
| Phone Number | 9133197600 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | HAND SURGERY |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 1153225479 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170188 | KANSAS CITY ORTHOPAEDIC INSTITUTE |
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| Address | Phone | Organization |
|---|---|---|
| 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 | 9133197600 | DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC |
| 3651 College Blvd, Leawood, KS 66211-1910 | 9133197600 | DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | DICKSON DIVELEY MIDWEST ORTHOPAEDIC CLINIC LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constantine L Fotopoulos | Physical Medicine and Rehabilitation | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Mark J Winston | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Stanley A Bowling | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Seamus Cotter Brown | Physician Assistant | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Harold Scott Ellsworth Jr. | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Timothy M Badwey | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Charles E Rhoades | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Danny M Gurba | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Scott A Wingerter | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-3235 |
| Thomas P Phillips | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Street Address |
3651 COLLEGE BLVD |
| City | LEAWOOD |
| State | KS |
| Zip | 66211-1910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Stechschulte Jr. | Orthopedic Surgery | Orthopaedic and Sports Medicine Consultants LLC | 3651 College Blvd, 100b, Leawood, KS 66211-1910 |
| Jon Edmund Browne | Orthopedic Surgery | Orthopaedic and Sports Medicine Clinic of Kansas City LLC | 3651 College Blvd, Suite 100a, Leawood, KS 66211-1910 |
| Kirk A Mccullough | Orthopedic Surgery | Orthopaedic and Sports Medicine Clinic of Kansas City LLC | 3651 College Blvd, Suite 100a, Leawood, KS 66211-1910 |
| Timothy M Badwey | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Jacob S Stueve | Orthopedic Surgery | Orthopaedic and Sports Medicine Consultants LLC | 3651 College Blvd, 100b, Leawood, KS 66211-1910 |
| Mark R Rasmussen | Orthopedic Surgery | Orthopaedic and Sports Medicine Consultants LLC | 3651 College Blvd, 100b, Leawood, KS 66211-1910 |
| Charles E Rhoades | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Danny M Gurba | Orthopedic Surgery | Dickson Diveley Midwest Orthopaedic Clinic LLC | 3651 College Blvd, Leawood, KS 66211-1910 |
| Scott M Cook | Orthopedic Surgery | Orthopaedic and Sports Medicine Consultants LLC | 3651 College Blvd, 100b, Leawood, KS 66211-1910 |
| Ronald R Ross | Physician Assistant | Orthopaedic and Sports Medicine Consultants LLC | 3651 College Blvd, 100b, Leawood, KS 66211-1910 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell P Miller | Clinical Social Worker | 8400 W 110th, 410 Comprehensive Counseling, Overland Park, KS 66211 | |
| Janice M Scott | Psychiatry | Fss Psychiatric, LLC | 10711 Barkley St, Overland Park, KS 66211-1161 |
| Elizabeth J Friedman | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Fang Fan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Janet M Woodroof | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Rashna Madan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Thomas A Franey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Brian L Mccroskey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Juan Carlos C Correa | Vascular Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Chelsey L Holden | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Find all physicians in zip 66211 | |||
| City | LEAWOOD |
| Zip Code | 66211 |
| Specialty | HAND SURGERY |
| City + Specialty | LEAWOOD + HAND SURGERY |
Please comment or provide details below to improve the information on Brian Divelbiss.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.