Shannon Carpenter (NPI# 1366762023, PAC ID# 7012148513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1366762023 |
PAC ID by PECOS | 7012148513 |
Professional Enrollment ID | I20161018002891 |
Full Name | Shannon Carpenter |
Organization Legal Name | OVERLAND PARK ORTHOPEDICS LLC |
Address |
1601 N 98th St Suite 101 Kansas City KS 66111-1882 |
Phone Number | 9137887111 |
Gender | F |
Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
Graduation Year | 2010 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 9032272026 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
170176 | OVERLAND PARK REG MED CTR |
170146 | PROVIDENCE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1601 N 98th St, Suite 101, Kansas City, KS 66111-1882 | 9137887111 | OVERLAND PARK ORTHOPEDICS LLC |
8919 Parallel Pkwy, Suite 270, Kansas City, KS 66112-1655 | 9137887111 | OVERLAND PARK ORTHOPEDICS LLC |
12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 | 9135415500 | OVERLAND PARK ORTHOPEDICS LLC |
Organization Legal Name | OVERLAND PARK ORTHOPEDICS LLC |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katlin L Valdez | Physician Assistant | Overland Park Orthopedics LLC | 1601 N 98th St, Suite 101, Kansas City, KS 66111-1882 |
Adam J Kaye | General Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
Daniel C Farrell | Orthopedic Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
Jonathan D Schultz | Orthopedic Surgery | Overland Park Orthopedics LLC | 1601 N 98th St, Suite 101, Kansas City, KS 66111-1882 |
Rachel M Miles | Physician Assistant | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
Don R Fishman | General Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
Melissa Nicole Short | Physician Assistant | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
Andrea R Hufford | General Surgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
Robert M Beatty | Neurosurgery | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
Matthew T Howard | Nurse Practitioner | Overland Park Orthopedics LLC | 12200 W 106th St, Suite 400, Overland Park, KS 66215-2305 |
Street Address |
1601 N 98TH ST SUITE 101 |
City | KANSAS CITY |
State | KS |
Zip | 66111-1882 |
Name | Specialty | Organization | Address |
---|---|---|---|
Katlin L Valdez | Physician Assistant | Overland Park Orthopedics LLC | 1601 N 98th St, Suite 101, Kansas City, KS 66111-1882 |
Jonathan D Schultz | Orthopedic Surgery | Overland Park Orthopedics LLC | 1601 N 98th St, Suite 101, Kansas City, KS 66111-1882 |
Amy C Sorrells | Obstetrics/gynecology | Care for Women, LLC | 1601 N 98th St, 103 Specialists In Womens Care, Kansas City, KS 66111-1877 |
Randi D Hardman | Physician Assistant | Overland Park Orthopedics LLC | 1601 N 98th St, Suite 101, Kansas City, KS 66111-1882 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barbara E Stewart | Clinical Social Worker | 11933 Kaw Dr, Bonner Springs, KS 66111-1103 | |
Michelle E Schwartz | Clinical Social Worker | 10601 Kaw Dr, Suite B2, Kansas City, KS 66111-1130 | |
Marcia R Boal | Clinical Social Worker | 10601 Kaw Dr, Suite B, Edwardsville, KS 66111-1132 | |
Cristin L Stice | Clinical Social Worker | 33 N 98th St, Edwardsville, KS 66111-1403 | |
Mark G Coble | Optometry | Coble Eye Associates,p.a. | 9501 State Ave, Suite 2, Kansas City, KS 66111-1871 |
Karen Suzanne Stephens | Optometry | Coble Eye Associates,p.a. | 9501 State Ave, Suite 2, Kansas City, KS 66111-1871 |
Brian Gregory Coble | Optometry | Coble Eye Associates,p.a. | 9501 State Ave, Suite 2, Kansas City, KS 66111-1871 |
City | KANSAS CITY |
Zip Code | 66111 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | KANSAS CITY + ORTHOPEDIC SURGERY |
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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.