PATRICK MULLENDORE (NPI# 1295853208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295853208 |
| Entity Type | Individual |
| Full Name | PATRICK MULLENDORE |
| Credential | SFA |
| Practice Address |
2040 Hutton Rd Suite 105 Kansas City KS 66109-4564 |
| Practice Telephone | 9132999540 |
| Practice Fax Number | 8883296432 |
| Mailing Telephone | 9132999540 |
| Mailing Fax Number | 8883296432 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
KS | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2040 HUTTON RD SUITE 105 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66109-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922092212 | Lisa A Lorenzetti | Obstetrics & Gynecology | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2005-09-01 |
| 1376163089 | Brandy Marie Gray | Registered Nurse | 2040 Hutton Rd, Kansas City, KS 66109-4526 | 2020-04-22 |
| 1801331061 | Precise Physical Therapy, LLC | Occupational Therapist | 2040 Hutton Rd, Ste 104, Kansas City, KS 66109-4526 | 2016-12-27 |
| 1871956524 | Molly Cornell | Physical Therapist | 2040 Hutton Rd, Kansas City, KS 66109-4526 | 2016-03-31 |
| 1881081842 | Monica Elissa Kragenbrink | Psychologist | 2040 Hutton Rd, Kansas City, KS 66109-4526 | 2015-04-16 |
| 1730583527 | Mary Bowman | Nurse Practitioner | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2014-10-22 |
| 1447651245 | Heartland Neurosurgery of Kansas City, LLC | Neurological Surgery | 2040 Hutton Rd, Suite 105, Kansas City, KS 66109-4526 | 2014-09-11 |
| 1588070817 | Melanie Wade | Nurse Practitioner | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2014-07-08 |
| 1558791236 | Jennifer Paige Mckechnie | Nurse Practitioner | 2040 Hutton Rd, Kansas City, KS 66109-4526 | 2013-11-18 |
| 1083960660 | Ellen Marguerite Rodenberger | Clinical Nurse Specialist | 2040 Hutton Rd, Suite 102, Kansas City, KS 66109-4526 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796688 | Lance Miller | Pharmacist | 10510 Parallel, Kansas City, KS 66109 | 2015-12-09 |
| 1386016293 | Tara Newton | Community Health Worker | 2821 N 91 St, Kansas City, KS 66109 | 2015-10-30 |
| 1952726473 | Dia L Herr | Clinic/Center | 2617 N. 69th Street, Kansas City, KS 66109 | 2014-02-20 |
| 1033559570 | Legends Dental Group, P.a. | Dentist | 10818 Parallel Parkway, Kansas City, KS 66109 | 2013-06-28 |
| 1215277694 | Kristin Kathleen Porter | Dietitian, Registered | 10124 Hutton Road, Kansas City, KS 66109 | 2013-02-22 |
| 1932459229 | Sams West, Inc | Technician/Technologist | 10510 Parrallel Pkwy, Kansas City, KS 66109 | 2012-09-13 |
| 1356642276 | Anjali Doshi | Dentist | 10818 Parallel Pkwy, Kansas City, KS 66109 | 2010-11-09 |
| 1841411675 | Wendy Ann Brakhage | Chiropractor | 2300 Hutton Road, Suite 101, Kansas City, KS 66109 | 2007-05-01 |
| 1205953742 | Lisa R Gonzales | Dentist | 10203 Leavenworth Road, Kansas City, KS 66109 | 2007-03-22 |
| 1497898290 | Shannon R Margherio | Physical Therapist | 1801 N 98th Street, Kansas City, KS 66109 | 2007-02-14 |
| Find all providers in zip 66109 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760692875 | Robert Anthony Everette | Specialist/Technologist, Other | 7619 E 76th St, Kansas City, MO 64138-1121 | 2007-05-23 |
| 1457561573 | Midwest Certified First Assistants | Specialist/Technologist, Other | 7619 E 76th St, Kansas City, MO 64138-1121 | 2007-05-24 |
| 1609994623 | World Midwest Surgical Assist LLC | Specialist/Technologist, Other | 2040 Hutton Rd, Suite 105, Kansas City, KS 66109-4564 | 2007-03-27 |
| 1750451597 | Barbara J Gant | Specialist/Technologist, Other | 2316 E Meyer Blvd, Kansas City, MO 64132-1136 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750587234 | Mark L Chance | Specialist/Technologist, Other | 15242 W 82nd Ter, Lenexa, KS 66219-1501 | 2007-06-22 |
| 1124248224 | Nancy Lucille Smith | Specialist/Technologist, Other | 929 No St Fracis, Wichita, KS 67214 | 2007-04-30 |
| 1790809234 | Certified Surgical First Assistants of Kansas City | Specialist/Technologist, Other | 14201 W 82nd St, #2, Lenexa, KS 66215-4125 | 2007-03-19 |
| 1700928504 | Professional Medical Associates, Inc. | Specialist/Technologist, Other | 1907 Sw Clay St, Topeka, KS 66604-3029 | 2007-02-12 |
| 1407171879 | Andrea Lynne Hageman | Specialist/Technologist, Other | 1515 S Clifton Ave, Suite 250, Wichita, KS 67218-2900 | 2010-03-29 |
| 1730320367 | Kathy Ornelas | Specialist/Technologist, Other | 818 N Emporia St, Suite 200, Wichita, KS 67214-3729 | 2009-03-11 |
| 1194923342 | Premier Surgical First Assistant LLC | Specialist/Technologist, Other | 15242 W 82nd Ter, Lenexa, KS 66219-1501 | 2007-07-10 |
| City | KANSAS CITY |
| Zip Code | 66109 |
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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.