KANSAS JOINT & SPINE INSTITUTE (NPI# 1164742565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164742565 |
| Entity Type | Organization |
| Organization Name | KANSAS JOINT & SPINE INSTITUTE |
| Other Organization Name | KANSAS JOINT AND SPINE PAIN MANAGEMENT CENTER |
| Practice Address |
10100 Shannon Woods St Wichita KS 67226-4103 |
| Practice Telephone | 3168581900 |
| Practice Fax Number | 3168581905 |
| Mailing Telephone | 3168581900 |
| Mailing Fax Number | 3168581905 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2012-11-16 |
| Authorized Official Name | DEBBIE BROCK-BAKER (CEO) |
| Authorized Official Telephone | 3168581900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | KA2539 | 01 |
| Other Name | Type Code |
|---|---|
| Kansas Joint and Spine Pain Management Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417920653 | Kansas Joint & Spine Institute | Orthopaedic Surgery | 10100 Shannon Woods, Wichita, KS 67226 | 2006-02-08 |
| Street Address |
10100 SHANNON WOODS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67226-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689616542 | Cassandra D. Overton | Physical Therapist | 10100 Shannon Woods St, Wichita, KS 67226-4103 | 2006-06-12 |
| 1912275785 | John E Slaba | Physical Therapist | 10100 Shannon Woods St, Wichita, KS 67226-4103 | 2011-12-08 |
| 1861631756 | Susan E Keene | Physical Therapist | 10100 Shannon Woods St, Wichita, KS 67226-4103 | 2009-02-17 |
| 1497900708 | Kansas Joint & Spine Institute, Chartered | Orthopaedic Surgery | 10100 Shannon Woods St, Wichita, KS 67226-4103 | 2008-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
| 1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
| 1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
| 1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
| 1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
| 1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
| 1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
| 1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
| 1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
| 1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1396238010 | Wichita Nephrology Group, Pa | Clinic/Center | 2122 N Garnett St, Wichita, KS 67206-3023 | 2018-06-07 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1811262363 | Precision Surgery Center, LLC | Clinic/Center | 1857 N. Webb Road, Wichita, KS 67206 | 2012-03-16 |
| 1356488837 | Ridgewood Surgery and Endoscopy Center LLC | Clinic/Center | 4013 North Ridge Road, Wichita, KS 67205-8822 | 2007-01-31 |
| 1205862984 | Endoscopic Services, P.a. | Clinic/Center | 1431 Bluffview St Ste 215, Wichita, KS 67218-3039 | 2006-06-24 |
| 1659327245 | Cosmetic & Reconstructive Surgery Center, Pa | Clinic/Center | 1700 N Waterfront Pkwy, Building 200, Wichita, KS 67206-6614 | 2006-05-25 |
| 1073581880 | Ambulatory Surgery Center Lp | Clinic/Center | 818 N Emporia, Ste 108, Wichita, KS 67214 | 2006-03-08 |
| 1295119584 | Wichita Asc Lp | Clinic/Center | 3555 North Webb Rd., Suite B, Wichita, KS 67226 | 2015-07-16 |
| 1336547421 | Associated Eye Surgical Center LLC | Clinic/Center | 1100 N Topeka St, Wichita, KS 67214-2810 | 2014-12-05 |
| Find all providers in WICHITA | ||||
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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.