DERMATOLOGY CONSULTANTS MIDWEST P.A. (NPI# 1497768774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497768774 |
| Entity Type | Organization |
| Organization Name | DERMATOLOGY CONSULTANTS MIDWEST P.A. |
| Practice Address |
10777 Nall Ave Ste 220 Overland Park KS 66211-1231 |
| Mailing Address |
10777 Nall Ave, Suite 220 Overland Park KS 66211-1231 |
| Practice Telephone | 9134690110 |
| Practice Fax Number | 9134696579 |
| Mailing Telephone | 9134690110 |
| Mailing Fax Number | 9134696579 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | DAVID M O'CONNELL (PRESIDENT) |
| Authorized Official Telephone | 9134690110 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 3992 | KS | Other Service Providers |
| Street Address |
10777 NALL AVE STE 220 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780062901 | Emilie Dore Badje | Dermatology | 10777 Nall Ave Ste 220, Overland Park, KS 66211 | 2015-05-07 |
| 1376786780 | Rebecca Leigh Chain | Dermatology | 10777 Nall Ave Ste 220, Overland Park, KS 66211-1359 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164765707 | Solomon Batnitzky | Specialist | 9996 Mackey Cir, Overland Park, KS 66212-3458 | 2013-04-02 |
| 1821338005 | Susan Gliesman | Specialist | 15751 Beverly St, Overland Park, KS 66223-3567 | 2013-02-25 |
| 1982848479 | Jennifer Herynk Thomas | Specialist | 5820 W 85th Ter, Overland Park, KS 66207-1665 | 2009-04-28 |
| 1184876500 | Gary D Hall | Specialist | 14340 Metcalf Ave, Overland Park, KS 66223-2987 | 2008-10-16 |
| 1942459417 | Martha Byers | Specialist | 10600 Quivira Rd Ste 120, Overland Park, KS 66215-2311 | 2008-09-09 |
| 1871794024 | Sheryl Geistkemper-ragland | Specialist | 9700 W 96th St, Overland Park, KS 66212-5105 | 2007-05-29 |
| 1063628634 | L. Susan Herrman | Specialist | 10300 W 103rd St Ste 400, Overland Park, KS 66214-2642 | 2007-05-14 |
| 1609081173 | Shawn Marie Barry | Specialist | 10300 W. 103rd St. Suite 300, Overland Park, KS 66214 | 2007-05-10 |
| 1063531812 | Rebecca N Gaughan | Specialist | 12906 Goddard Ave, Overland Park, KS 66213-3487 | 2007-03-29 |
| 1568589398 | Jo Ellen Fuentes | Specialist | 15238 Broadmoor St, Overland Park, KS 66223-3137 | 2007-03-25 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on DERMATOLOGY CONSULTANTS MIDWEST P.A..
| 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.