ADVANTAGE SPINE AND PAIN CARE, INC. (NPI# 1356667778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356667778 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE SPINE AND PAIN CARE, INC. |
| Other Organization Name | LCP, INC. |
| Practice Address |
14720 Metcalf Ave Suite 160 Overland Park KS 66223 |
| Mailing Address |
9902 W 116th Pl Overland Park KS 66210-3103 |
| Practice Telephone | 9136851200 |
| Practice Fax Number | 9136851245 |
| Mailing Telephone | 9135582423 |
| Mailing Fax Number | 9136851245 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-05-02 |
| Authorized Official Name | DR. LANE PETERSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 9136851200 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
05-34066 | KS | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LCP, Inc. | Former Legal Business Name - Organization |
| Street Address |
14720 METCALF AVE SUITE 160 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139252 | Heather J Clark | Pharmacist | 14720 Metcalf Ave, Overland Park, KS 66223-2204 | 2005-10-22 |
| 1831437987 | Mehdi Taghizadeh | Registered Nurse | 14720 Metcalf Ave, Overland Park, KS 66223-2204 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790208304 | Body Guitar, LLC | Physical Medicine & Rehabilitation | 11040 Oakmont St, Overland Park, KS 66210-1100 | 2017-07-25 |
| 1629699038 | Optima Pain Management LLC | Physical Medicine & Rehabilitation | 6650 W 110th St Ste 210, Overland Park, KS 66211-1501 | 2020-04-27 |
| 1366569287 | Metro Spine & Rehab, P.a. | Physical Medicine & Rehabilitation | 10777 Nall Ave, Suite 120, Overland Park, KS 66211-1231 | 2007-03-24 |
| 1366498867 | Zhengyu Hu | Physical Medicine & Rehabilitation | 10600 Quivira Rd, Suite 470, Overland Park, KS 66215-2309 | 2006-05-26 |
| 1184682429 | Joseph F Galate | Physical Medicine & Rehabilitation | 10777 Nall Ave, Suite 120, Overland Park, KS 66211-1231 | 2006-05-03 |
| 1376530683 | Sean M Wheeler | Physical Medicine & Rehabilitation | 11725 W 112th St, Overland Park, KS 66210-2761 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457515041 | James N Warren Md PC | Physical Medicine & Rehabilitation | 2900 Sw Atwood Ave Ste C, Topeka, KS 66614-2856 | 2008-07-14 |
| 1437582020 | Hospital District No. 1 of Dickinson County, Kansas | Physical Medicine & Rehabilitation | 511 Ne 10th St, Abilene, KS 67410-2153 | 2013-08-19 |
| 1194060954 | Mobile Wound Care L.L.C. | Physical Medicine & Rehabilitation | 2260 N Ridge Rd, Suite 100, Wichita, KS 67205-1132 | 2012-12-05 |
| 1245506302 | Wichita Rehab and Wellness L.l.c | Physical Medicine & Rehabilitation | 2260 N Ridge Rd, Suite 100, Wichita, KS 67205-1132 | 2012-03-22 |
| 1649326992 | Rajorshi Mitra | Physical Medicine & Rehabilitation | 3901 Rainbow Blvd, 4019 Delp, Mail Stop 4017, Kansas City, KS 66160-8500 | 2007-01-26 |
| City | OVERLAND PARK |
| Zip Code | 66223 |
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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.