DR. LARRY R CORUM (NPI# 1063413151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063413151 |
| Entity Type | Individual |
| Full Name | DR. LARRY R CORUM |
| Credential | MD |
| Practice Address |
20375 W 151st St Suite 208 Olathe KS 66061-7218 |
| Practice Telephone | 9137804000 |
| Practice Fax Number | 9137804038 |
| Mailing Telephone | 9137804000 |
| Mailing Fax Number | 9137804038 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2016-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
04-30533 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BC/BS OF KC | 34068015 | 01 |
| KS | 200266340D | 05 |
| Street Address |
20375 W 151ST ST SUITE 208 |
| City | OLATHE |
| State | KS |
| Zip Code | 66061-7218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405654 | Dan L Gehlbach | Obstetrics & Gynecology | 20375 W 151st St, Ste 403, Olathe, KS 66061-7209 | 2005-05-27 |
| 1740668581 | Brian C Piere | Registered Nurse | 20375 W 151st St, Suite 306, Olathe, KS 66061-5306 | 2015-05-13 |
| 1679982060 | Dawn Michele Bishop | Nurse Practitioner | 20375 W 151st St, 350, Olathe, KS 66061-5306 | 2014-08-11 |
| 1275952210 | Emily M. Gray | Registered Nurse | 20375 W 151st St, Suite 306, Olathe, KS 66061-5306 | 2014-04-07 |
| 1639595846 | Olathe Health Physicians, Inc. | Radiology | 20375 W 151st St, Suite 208, Olathe, KS 66061-5306 | 2014-03-12 |
| 1952726416 | Mindy M. Plost | Registered Nurse | 20375 W 151st St, Suite 306, Olathe, KS 66061-5306 | 2014-02-20 |
| 1447695671 | Stacey Lynne Alexander | Registered Nurse | 20375 W 151st St, Suite 306, Olathe, KS 66061-5306 | 2013-05-01 |
| 1720335441 | Veronica Dawn Woodford | Clinical Nurse Specialist | 20375 W 151st St, Suite 250, Olathe, KS 66061-5306 | 2012-08-13 |
| 1104117886 | Jeslyn A. Johnson | Registered Nurse | 20375 W 151st St, Suite 306, Olathe, KS 66061-5306 | 2011-04-28 |
| 1043517832 | Linda Lea Beezley | Nurse Practitioner | 20375 W 151st St, 301, Olathe, KS 66061-5306 | 2011-02-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192967 | Sarah L Gilliland | Registered Nurse | Olathe School District, Central Elementary, 305 E. Cedar St., Olathe, KS 66061 | 2020-04-16 |
| 1518517382 | Olathe West Dentistry, Pa | Dentist | 2180 West Dartmouth Street, Olathe, KS 66061 | 2019-09-13 |
| 1992354815 | Terry Graves | Technician | 11640 S. Pine St., Olathe, KS 66061 | 2019-09-04 |
| 1154975746 | Nydia Smith | Dietitian, Registered | 11875 W Sunset Drive Suite 300, Olathe, KS 66061 | 2019-07-31 |
| 1598235160 | John Toplikar | Specialist/Technologist | 507 E Spruce St, Olathe, KS 66061 | 2018-11-27 |
| 1639679103 | A Friend In Need Home Care, LLC | Home Health | 1033 E Pineview St, Olathe, KS 66061 | 2018-02-20 |
| 1023529468 | Molly Marie Hulsen | Nurse Practitioner | 20805 W. 151st Street, The Doctors Bldg #2, Ste. 400, Olathe, KS 66061 | 2017-10-12 |
| 1093230682 | Salakchit Lyfoung | Physician Assistant | 225 S Normandy St, Olathe, KS 66061 | 2017-08-04 |
| 1376063289 | Hana Tahaei | Dietitian, Registered | 20333 W. 151st Street, Olathe, KS 66061 | 2017-06-21 |
| 1396273447 | Cosenza Maria Bryson | Counselor | 21344 W. 153rd Street, Olathe, KS 66061 | 2017-06-01 |
| Find all providers in zip 66061 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396717641 | Lisa L. Doane | Internal Medicine | 26555 W 106th Ter, Olathe, KS 66061-7410 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495502 | Sashidhar Manthravadi | Internal Medicine | 8929 Parallel Pkwy Ste G, Kansas City, KS 66112-1689 | 2014-03-28 |
| 1073806410 | Karl H Hanson Jr. | Internal Medicine | 9703 Overbrook Rd, Leawood, KS 66206-2309 | 2011-05-18 |
| 1033408695 | University of Kansas Hospital Authority | Internal Medicine | 9200 Indian Creek Pkwy, Bldg 9 Ste. 300, Overland Park, KS 66210-2036 | 2011-04-05 |
| 1508006917 | Howard N Ward | Internal Medicine | 3126 Sw 15th St, Topeka, KS 66604-2516 | 2009-02-25 |
| 1598916769 | Cancer Center of Kansas, P.a. | Internal Medicine | 817 N. Emporia, Wichita, KS 67214-3709 | 2008-10-07 |
| 1912158221 | Cancer Center of Kansas, P.a. | Internal Medicine | 750 Avenue D, Kingman, KS 67068-0376 | 2008-10-06 |
| 1811148125 | Cancer Center of Kansas, P.a. | Internal Medicine | 124 Commodore, Suite A, Pratt, KS 67124-2903 | 2008-10-06 |
| 1467603779 | Cancer Center of Kansas, P.a. | Internal Medicine | 1305 East 5th, Winfield, KS 67156-2406 | 2008-10-06 |
| 1215188529 | Cancer Center of Kansas, P.a. | Internal Medicine | 505 S. Plummer, Chanute, KS 66720-1950 | 2008-10-06 |
| 1730330044 | Cancer Center of Kansas, P.a. | Internal Medicine | 700 W. Central, El Dorado, KS 67042-2187 | 2008-10-06 |
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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.