KANSAS JOINT & SPINE INSTITUTE


Address: 10100 Shannon Woods St, Wichita, KS 67226-4103
Phone: 3168581900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KS MEDICARE PTAN KA2539 01

Other Provider/Organization Names

Other Name Type Code
Kansas Joint and Spine Pain Management Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417920653 Kansas Joint & Spine Institute Orthopaedic Surgery 10100 Shannon Woods, Wichita, KS 67226 2006-02-08

Office Location

Street Address 10100 SHANNON WOODS ST
City WICHITA
State KS
Zip Code 67226-4103

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City WICHITA
Zip Code 67226

Improve Information

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Dataset Information

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.

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