DR. STEPHEN C GRADWOHL (NPI# 1265523179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265523179 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN C GRADWOHL |
| Credential | D.C. |
| Practice Address |
11791 W 112th St Suite 100 Overland Park KS 66210-2761 |
| Mailing Address |
18850 W 96th St Lenexa KS 66220-9702 |
| Practice Telephone | 9138883338 |
| Practice Fax Number | 9136961908 |
| Mailing Telephone | 9137688229 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
01-03761 | KS | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BC/BS K.C. | 12139018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811303449 | Stephen Charles Gradwohl II | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-7106 | 2014-07-02 |
| Street Address |
11791 W 112TH ST SUITE 100 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66210-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316391444 | Anna Diec | Naturopath | 11791 W 112th St, Overland Park, KS 66210-2737 | 2016-04-14 |
| 1639572605 | Laura Elizabeth Rues | Naturopath | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2737 | 2014-10-03 |
| 1275948721 | Sydney George | Counselor | 11791 W 112th St, Suite 102, Overland Park, KS 66210-2737 | 2014-06-24 |
| 1598108250 | S&s Internal Medicine | Internal Medicine | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2737 | 2013-04-12 |
| 1700154374 | Andrea Stafos | Nurse Practitioner | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2737 | 2011-12-09 |
| 1427359801 | Amy Jo Bates | Chiropractor | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2737 | 2010-11-16 |
| 1073755229 | Deborah Nn Bigogno | Chiropractor | 11791 W 112th St, Ste 103, Overland Park, KS 66210-2725 | 2009-04-02 |
| 1619145026 | Jonah Dallas Yakel | Chiropractor | 11791 W 112th St, Suite #102, Overland Park, KS 66210-2737 | 2008-02-19 |
| 1104010925 | Cheryl Renee Gates | Midwife | 11791 W 112th St, Suite 102, Overland Park, KS 66210-2761 | 2007-09-05 |
| 1417161662 | Chiropractic Treatment Center, Pa | Chiropractor | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2761 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1417591165 | Refractive Cataract Center, LLC | Clinic/Center | 8300 College Boulevard, Suite 201, Overland Park, KS 66210 | 2019-11-05 |
| 1336705730 | Above & Beyond In-home Kansas, LLC | In Home Supportive Care | 7300 W. 110th Street, Suite 700, Overland Park, KS 66210 | 2019-05-13 |
| 1528531720 | Sarah J Sievers | Acupuncturist | 4800 W. 135th St. Suite 200, Leawood, Ks 66224, KS 66210 | 2019-01-10 |
| 1790286326 | Sarah E Hamilton | Physician Assistant | 8490 College Boulevard, Overland, KS 66210 | 2018-02-28 |
| 1730600750 | True Health and Wellness, LLC | Family Medicine | 11879 W. 112th Street, Suite 100, Overland Park, KS 66210 | 2017-06-29 |
| 1639610603 | Kayla Jolene Lawrance | Advanced Practice Midwife | 9202 W. 110th St., Building 36, Overland Park, KS 66210 | 2017-03-10 |
| 1972041952 | Ccrc of Cedar Rapids, LLC | Skilled Nursing Facility | 11827 W 112th St, Suite 103, Overland Park, KS 66210 | 2017-02-09 |
| 1396122008 | Laurie Jean Sansom | Counselor | 8575 W. 110th, Ste. 218, Overland Park, KS 66210 | 2015-05-01 |
| 1790181063 | Susan J. Anderson, Psy.d., Pa | Psychologist | 8500 W. 100th Street, 540, Overland Park, KS 66210 | 2014-11-13 |
| Find all providers in zip 66210 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019240 | Impact Health and Performance LLC | Chiropractor | 15445 Metcalf Ave, Overland Park, KS 66223-2801 | 2020-09-30 |
| 1720693724 | Ryan A Prosser | Chiropractor | 15445 Metcalf Ave, Overland Park, KS 66223-2801 | 2020-09-15 |
| 1417161662 | Chiropractic Treatment Center, Pa | Chiropractor | 11791 W 112th St, Suite 100, Overland Park, KS 66210-2761 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356434229 | Lance E Malmstrom Dc, Pa | Chiropractor | 1520 Sw Topeka Ave., Topeka, KS 66612 | 2006-10-02 |
| 1205928389 | Julia A Flagor | Chiropractor | 254 W 2nd St, Hoisington, KS 67544-2427 | 2006-09-28 |
| 1710900519 | Larry Lee Libs | Chiropractor | 3228 N 109th Pl, Kansas City, KS 66109 | 2006-07-25 |
| 1750369013 | Steven L Leonard | Chiropractor | 219 W Garfield St, Iola, KS 66749-1707 | 2006-01-06 |
| 1225298847 | Ronald J Zoeller | Chiropractor | 2900 Sw Atwood Ave, Topeka, KS 66614-2857 | 2008-06-17 |
| 1518051796 | Lance Eric Malmstrom | Chiropractor | 1520 Sw Topeka Blvd, Topeka, KS 66612-1851 | 2006-10-03 |
| 1891714242 | Phillip Hart | Chiropractor | 901 Kentucky St Ste 102, Lawrence, KS 66044-2853 | 2006-07-18 |
| City | OVERLAND PARK |
| Zip Code | 66210 |
Please comment or provide details below to improve the information on DR. STEPHEN C GRADWOHL.
| 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.