SHERIDAN S. H .STEVENS M.D., FACS, PC (NPI# 1083887848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083887848 |
| Entity Type | Organization |
| Organization Name | SHERIDAN S. H .STEVENS M.D., FACS, PC |
| Practice Address |
3600 Ne Ralph Powell Rd Lees Summit MO 64064-2369 |
| Practice Telephone | 8165546500 |
| Practice Fax Number | 8165546503 |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | SHERIDAN S. H. STEVENS (PRESIDENT) |
| Authorized Official Telephone | 8165546500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 107199 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 21480019 | 01 |
| MO | UNITED HEALTHCARE | 13-00057 | 01 |
| MO | COVENTRY | 7013 | 01 |
| MO | HEALTH CARE USA | 33802 | 01 |
| MO | CIGNA | 7303198 | 01 |
| MO | AETNA | 5818033 | 01 |
| Street Address |
3600 NE RALPH POWELL RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021140 | Christopher Andrew Best | Family Medicine | 3600 Ne Ralph Powell Rd, Ste B, Lees Summit, MO 64064-2357 | 2005-08-25 |
| 1174179667 | Mary Bierbaum | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd, Lees Summit, MO 64064-2369 | 2019-08-12 |
| 1689142911 | Susan Traiger | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd, Lees Summit, MO 64064-2369 | 2018-11-05 |
| 1831595404 | Jessica Cline | Nurse Practitioner | 3600 Ne Ralph Powell Rd, Suite B, Lees Summit, MO 64064-2369 | 2014-11-10 |
| 1124421516 | Wendy Carabetta | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd, Lees Summit, MO 64064-2369 | 2014-09-30 |
| 1043577257 | Lees Summit Center for Womens Wellness, LLC | Clinic/Center | 3600 Ne Ralph Powell Rd, Suite A, Lees Summit, MO 64064-2369 | 2012-04-12 |
| 1730460270 | Lakewood Oral and Maxillofacial Surgery Specialists | Dentist | 3600 Ne Ralph Powell Rd, Suite D, Lees Summit, MO 64064-2369 | 2011-08-29 |
| 1033341854 | Kansas City University of Medicine and Biosciences | Family Medicine | 3600 Ne Ralph Powell Rd, Suite C, Lees Summit, MO 64064-2369 | 2009-08-12 |
| 1629244959 | Christopher John Haggerty | Dentist | 3600 Ne Ralph Powell Rd, Suite D, Lees Summit, MO 64064-2369 | 2008-05-06 |
| 1316120645 | Goodview Family Care | Family Medicine | 3600 Ne Ralph Powell Rd, Suite B, Lees Summit, MO 64064-2369 | 2007-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275645491 | O Allen Guinn IIi | Plastic Surgery | 300 Ne Missouri Road, Lees Summit, MO 64086 | 2006-09-01 |
| 1730157637 | Madhukar Chhatre | Plastic Surgery | 3151 Ne Carnegie Dr, Lees Summit, MO 64064-3222 | 2006-03-08 |
| 1871651430 | Summit Plastic Surgery Inc | Plastic Surgery | 3151 Ne Carnegie Drive, Lees Summit, MO 64064 | 2006-12-05 |
| 1437188620 | Madhukar Chhatre Md PC | Plastic Surgery | 3151 Ne Carnegie Dr, Lees Summit, MO 64064-3215 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908364 | Hollie Ann Power | Plastic Surgery | 660 South Euclid Avenue, 1150 Nw Tower, Campus Bx 8238, Division of Plastic & Reconstructive Surgery, Washingto, St Louis, MO 63110 | 2017-05-02 |
| 1972954345 | Bryce Decidue Stash | Plastic Surgery | 1720 Chouteau Ave, Saint Louis, MO 63103-3112 | 2016-06-28 |
| 1457791543 | Chesterfield Plastic & Reconstructive Surgery LLC | Plastic Surgery | 111 Saint Lukes Center Dr Ste 46b, Chesterfield, MO 63017-3509 | 2013-07-03 |
| 1538505250 | Deniz Sarhaddi | Plastic Surgery | 17300 N Outer 40 Rd Ste 300, Chesterfield, MO 63005-1364 | 2013-05-21 |
| 1144577057 | Precision Plastic Surgery, PC St. Peters Office | Plastic Surgery | 70 Jungermann Circle, Ste 302, St. Peters, MO 63376 | 2012-08-09 |
| 1568750552 | Raghu Nandan | Plastic Surgery | 1229 E Seminole St Ste 330, Springfield, MO 65804-2227 | 2011-07-12 |
| 1972732089 | Michael Joseph Franco | Plastic Surgery | 4100 Forest Park Ave Apt 410, Saint Louis, MO 63108-2891 | 2009-07-09 |
| 1639304058 | Paul Rottler Md PC | Plastic Surgery | 13625 Big Bend Road, St. Louis, MO 63122-5568 | 2009-05-29 |
| 1083854004 | Melvin Nathan Abend | Plastic Surgery | 848 W 52nd Ter, Pob 30568, Kansas City, MO 64112-2322 | 2009-03-03 |
| 1578718474 | Plastic Surgery Concepts | Plastic Surgery | 1170b E Gannon Dr, Festus, MO 63028-2612 | 2008-11-20 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
Please comment or provide details below to improve the information on SHERIDAN S. H .STEVENS M.D., FACS, PC.
| 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.