KANSAS JOINT & SPINE INSTITUTE (NPI# 1417920653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417920653 |
| Entity Type | Organization |
| Organization Name | KANSAS JOINT & SPINE INSTITUTE |
| Practice Address |
10100 Shannon Woods Wichita KS 67226 |
| Practice Telephone | 3168581900 |
| Practice Fax Number | 3168581905 |
| Mailing Telephone | 3168581900 |
| Mailing Fax Number | 3168581905 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-11-14 |
| Authorized Official Name | DEBBIE BROCK-BAKER (CEO) |
| Authorized Official Telephone | 3167714009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100407900A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164742565 | Kansas Joint & Spine Institute | Clinic/Center | 10100 Shannon Woods St, Wichita, KS 67226-4103 | 2010-06-08 |
| Street Address |
10100 SHANNON WOODS |
| City | WICHITA |
| State | KS |
| Zip Code | 67226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194032110 | Ann B Haberly | Physical Therapy Assistant | 10100 Shannon Woods, Wichita, KS 67226 | 2010-09-13 |
| 1770778482 | Kimberly Jean Mathes | Physical Therapist | 10100 Shannon Woods, Wichita, KS 67226 | 2007-09-06 |
| 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 |
| Find all providers in zip 67226 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598725418 | John P Estivo | Orthopaedic Surgery | 6634 W Central Ave, Wichita, KS 67212-3315 | 2006-03-24 |
| 1851371470 | Brian Hakala | Orthopaedic Surgery | 7272 E 37th St N Apt 1121, Wichita, KS 67226-3222 | 2006-01-19 |
| 1265414890 | John R Schurman II | Orthopaedic Surgery | 2778 N Webb Rd, Wichita, KS 67226-8112 | 2005-11-18 |
| 1063416048 | Robert Lamar Eyster | Orthopaedic Surgery | 1131 S Clifton Ave, Wichita, KS 67218-2955 | 2005-06-08 |
| 1912522780 | Zachary Donoviel | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2020-06-08 |
| 1487278701 | Brendan Mitchell | Orthopaedic Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-06-02 |
| 1457975187 | Seth Tarrant | Orthopaedic Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-05-28 |
| 1144843327 | Michael Blankespoor | Orthopaedic Surgery | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2020-05-22 |
| 1902467418 | Guillermo Marquez | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2019-06-25 |
| 1780244954 | Justin Cline | Orthopaedic Surgery | 1010 N Kansas St, Wichita, KS 67214-3124 | 2019-06-19 |
| Find all providers in WICHITA | ||||
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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.