SCOTT W HAESEMEYER (NPI# 1326068149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326068149 |
| Entity Type | Individual |
| Full Name | SCOTT W HAESEMEYER |
| Credential | MD |
| Practice Address |
12300 Metcalf Ave Overland Park KS 66213-1324 |
| Mailing Address |
8000 W 110th St Ste 150 Overland Park KS 66210-2382 |
| Practice Telephone | 9133177000 |
| Mailing Telephone | 9135996777 |
| Mailing Fax Number | 9135996955 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
2000152521 | MO | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
04-29204 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
12300 METCALF AVE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66213-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245231158 | Charles L Gerwick | Emergency Medicine | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2005-08-02 |
| 1548861537 | Erin Elizabeth Gillitzer | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-11-05 |
| 1245830496 | Alexandrea Ann Young | Registered Nurse | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-10-27 |
| 1952933822 | Samantha Boice | Physician Assistant | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-02-10 |
| 1659902880 | Barbara Diann Kelly | Nurse Practitioner | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-27 |
| 1023657574 | Elhonei K Alemu | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2020-01-02 |
| 1447800131 | Advanced Radiology Consultants of Kansas City, Pa | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-09-16 |
| 1336601335 | Saint Luke's South Hospital Inc. | Hospitalist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2019-04-01 |
| 1871009068 | Sharlene Marie Clary | Radiology | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-12-25 |
| 1295253458 | Megan Kathleen Hartman | Occupational Therapist | 12300 Metcalf Ave, Overland Park, KS 66213-1324 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
| 1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
| 1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
| 1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
| 1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
| 1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
| 1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
| 1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
| 1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
| 1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
| Find all providers in zip 66213 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912096868 | Veronika Mcdonald | Radiology | 9100 W 74th St, Overland Park, KS 66204-4004 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811394919 | Advanced General Radiology LLC | Radiology | 1715 Medical Parkway, Suite 200, Newton, KS 67114-9042 | 2014-12-04 |
| 1538494075 | Edward L Siegel | Radiology | 14007 W 56th St, Shawnee, KS 66216-4695 | 2009-10-15 |
| 1437308889 | Radiology Associates of Kansas City, LLC | Radiology | 4809 W 117th St, Leawood, KS 66211-2051 | 2008-09-10 |
| 1235221763 | Vascular and Radiology Specialists LLC | Radiology | 1011 N Preserve, Wichita, KS 67206 | 2006-09-29 |
| 1760094130 | William Newton Memorial Hospital | Radiology | 1305 E 5th Ave, Winfield, KS 67156-2406 | 2020-08-18 |
| 1750902821 | Sean Keilty | Radiology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-04-30 |
| 1811034887 | Heartland Radiology, Pa | Radiology | 1124 W 21st, Andover, KS 67002 | 2007-01-31 |
| 1548375793 | Charles A Karlin | Radiology | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2006-08-20 |
| 1629183884 | Terry S Lee | Radiology | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2006-08-20 |
| 1821009531 | Ramin Midia | Radiology | 1303 Sw First American Pl, Topeka, KS 66604-4059 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66213 |
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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.