SCOTT ANTHONY HARDOUIN (NPI# 1528334950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528334950 |
| Entity Type | Individual |
| Full Name | SCOTT ANTHONY HARDOUIN |
| Credential | MD |
| Practice Address |
5100 W 110th St Unit 300 Overland Park KS 66211 |
| Mailing Address |
5100 W 110th St Unit 300 Overland Park KS 66211-1215 |
| Practice Telephone | 9137542800 |
| Mailing Telephone | 9137542800 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
270808 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 88 E Newton St # C515, Boston, MA 02118 | (720) 635-7307 |
| Street Address |
5100 W 110TH ST UNIT 300 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211 |
| 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 |
| 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 |
| 1548585235 | Holly C Lang | Physical Therapist | 10730 Nall Ave Ste 204, Overland Park, KS 66211 | 2010-04-06 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619291812 | Kansas City Vascular & General Surgery Group LLC | Surgery | 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366 | 2010-03-17 |
| 1295968865 | Kansas City Vascular & General Surgery Group LLC | Surgery | 10730 Nall Ave, Suite 101, Overland Park, KS 66211-1366 | 2009-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902223787 | Mcclure Medical Practice, Pa | Surgery | 901 Main St, Suite 101, Winfield, KS 67156-3604 | 2014-03-18 |
| 1194983114 | Jenny Grace Cho | Surgery | 7420 Switzer, Shawnee, KS 66203-1239 | 2008-05-27 |
| 1215121744 | Heartland Surgery, Pa | Surgery | 1431 S Bluffview Dr, Ste #209, Wichita, KS 67218-3039 | 2007-08-28 |
| 1164633921 | Ousama Masannat | Surgery | 3901 Rainbow Blvd, Ms 1045, Kansas City, KS 66160-0001 | 2007-05-24 |
| 1033325352 | Lawrence Vascular Surgery | Surgery | 325 Maine St, Lawrence, KS 66044-1360 | 2007-05-15 |
| 1710012257 | Hays Medical Center, Inc. | Surgery | 2214 Canterbury Dr, Suite 304, Hays, KS 67601-2386 | 2007-02-23 |
| 1285773655 | Craig I. Schwartz, D.o., P.a. | Surgery | 11409 Ash St, Suite B, Leawood, KS 66211-1682 | 2007-02-05 |
| 1093868457 | Richard S. Toon, M.d., P.a. | Surgery | 2600 N Woodlawn St, Wichita, KS 67220-2729 | 2007-01-19 |
| 1699783225 | Peter J Tutuska | Surgery | 830 Sw Mulvane St, Topeka, KS 66606-1654 | 2006-08-03 |
| 1699722900 | Tallgrass General, Vascular & Thoracic Surgery | Surgery | 6001 Sw 6th Ave, Suite 220, Topeka, KS 66615-1011 | 2006-05-30 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.