MIDWEST TRAUMA SERVICES, LLC (NPI# 1063468361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063468361 |
| Entity Type | Organization |
| Organization Name | MIDWEST TRAUMA SERVICES, LLC |
| Other Organization Name | MIDWEST TRAUMA & SURGICAL SPECIALISTS |
| Practice Address |
2330 East Meyer Blvd T-207 Kansas City MO 64132-4147 |
| Practice Telephone | 8162769100 |
| Practice Fax Number | 8162769101 |
| Mailing Telephone | 8162769100 |
| Mailing Fax Number | 8162769101 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-04-20 |
| Authorized Official Name | PATRICK J KUENY (VP) |
| Authorized Official Telephone | 8162769100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200356790 A | 05 | |
| MO | 507620607 | 05 | |
| MO | BCBS OF KC (PHP) | 36082011 | 01 |
| Other Name | Type Code |
|---|---|
| Midwest Trauma & Surgical Specialists | Doing Business As Name - Organization |
| Street Address |
2330 EAST MEYER BLVD T-207 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64132-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851456735 | Elizabeth Ann Molleker | Registered Nurse | 2330 East Meyer Blvd, T-207, Kansas City, MO 64132-4147 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407245681 | Fit 2 Fight Training, LLC | Student in an Organized Health Care Education/Training Program | 4228 E 68th Street, Kansas City, MO 64132 | 2015-01-12 |
| 1811309453 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Meyer Blvd Ste 103, Kansas City, MO 64132 | 2014-06-02 |
| 1255628848 | Jeffrey D Markey | Otolaryngology | 2330 E Meyer Blvd Ste T104, Kansas City, MO 64132 | 2011-07-01 |
| 1699926352 | Andrew Colbert Lueder | Physical Medicine & Rehabilitation | 6400 Prospect #346, Kansas City, MO 64132 | 2008-09-30 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1659453546 | Kristine D Mall | Nurse Practitioner | 2330 E Meyer Blvd Ste 101, Kansas City, MO 64132 | 2006-10-19 |
| 1659474138 | James W Rosher | Anesthesiology | 1800 East Meyer Blvd, Kansas City, MO 64132 | 2006-09-07 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1548299621 | Frederic L Seligson | Specialist | 2340 E. Meyer Blvd, Bldg 2, Suite 382, Kansas City, MO 64132 | 2006-07-01 |
| 1063458610 | Midwest Radiology Inc | Specialist | 2316 East Meyer Blvd., Research Hospital, Kansas City, MO 64132 | 2006-06-21 |
| Find all providers in zip 64132 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205907359 | Dennis M Arce Md | Surgery | 6420 Prospect Ave Ste 311, Kansas City, MO 64132-4130 | 2006-11-12 |
| 1811087547 | Hillary Aa Chollet Md PC | Surgery | 6400 Prospect Ave Ste 338, Kansas City, MO 64132-1100 | 2006-10-13 |
| 1285684167 | Pascal Nyachowe | Surgery | 4320 Wornall Rd Ste 5320, Kansas City, MO 64111-5941 | 2006-05-11 |
| 1760934889 | Glenarm Acute Surgical Specialists LLC | Surgery | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2016-10-25 |
| 1922236314 | Jeffrey Ray Simpson | Surgery | 2330 E Meyer Blvd, Ste 207, Kansas City, MO 64132-1132 | 2009-06-24 |
| 1457504722 | Leo Andrew Osifuye Benedict | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111 | 2008-10-29 |
| 1184671745 | Rmc Hbp, LLC | Surgery | 2316 E Meyer Blvd, Trauma Department, Kansas City, MO 64132-1136 | 2006-05-28 |
| 1720072564 | John M Webb | Surgery | 6400 Prospect Ave, Suite 208, Kansas City, MO 64132-1100 | 2005-09-08 |
| 1295734481 | Patrick Eugene Mcgregor | Surgery | 9411 N Oak Trfy, Suite Ll1, Kansas City, MO 64155-2233 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861810111 | Abbie May Jensen | Surgery | 615 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8221 | 2014-04-03 |
| 1457521478 | Manuel Almendral Castasus | Surgery | 884 Woodsmill Road, Ttg Locum Tenens, Ballwin, MO 63011 | 2008-03-05 |
| 1194019968 | Kevin Clay Christian | Surgery | 3800 S National Ave, 4th Floor, Springfield, MO 65807-5209 | 2011-06-08 |
| 1316262793 | Jennifer Marie Laplante | Surgery | 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301-2882 | 2010-03-29 |
| 1356561609 | St Louis University | Surgery | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-27 |
| 1669529657 | Stanley A. Sakabu | Surgery | 621 S New Ballas Rd, Suite 560-a, Saint Louis, MO 63141-8232 | 2007-01-04 |
| 1275637498 | Aaron Scifres | Surgery | 3635 Vista, 3rd Floor, Saint Louis, MO 63110 | 2006-09-08 |
| 1689673675 | Gregory A Eason | Surgery | 2750 Clay Edwards Dr, Suite 312, North Kansas City, MO 64116-3237 | 2005-07-20 |
| 1063411031 | Jon S Gengler | Surgery | 2750 Clay Edwards Dr, Suite 312, North Kansas City, MO 64116-3237 | 2005-07-20 |
| 1326047325 | Northland General Surgery, PC | Surgery | 2750 Clay Edwards Dr, Suite 312, North Kansas City, MO 64116-3237 | 2005-07-20 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64132 |
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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.