UROGYNECOLOGY CENTER LLC (NPI# 1578564480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578564480 |
| Entity Type | Organization |
| Organization Name | UROGYNECOLOGY CENTER LLC |
| Practice Address |
12200 W 106th Street Suite 130 Overland Park KS 66215-2300 |
| Mailing Address |
6730 W 121st St Overland Park KS 66209-2002 |
| Practice Telephone | 9133070044 |
| Practice Fax Number | 9132270094 |
| Mailing Telephone | 9133070044 |
| Mailing Fax Number | 9132270094 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MR. CHARLES W BUTRICK (DIRECTOR) |
| Authorized Official Telephone | 9133070044 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
22411 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
12200 W 106TH STREET SUITE 130 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66215-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442193 | Breanna Kay Bezona | Chiropractor | 13830 Sante Fe Trail Dr., St. 104, Lenexa, KS 66215 | 2020-06-25 |
| 1801458542 | Paula Aileen Rogers | Registered Nurse | 14831 W 95th Street, Lenexa, KS 66215 | 2019-07-02 |
| 1154988780 | Michelle Marie Magri | Counselor | 8645 Hauser Court, Lenexa, KS 66215 | 2019-05-20 |
| 1891267100 | Beulah Mathew | Physical Therapist | Lakeview Village, 9100 Park St., Lenexa, KS 66215 | 2018-12-27 |
| 1609350123 | Courtney Smith | Behavior Technician | 9340 Gillette St., Lenexa, KS 66215 | 2018-09-20 |
| 1588182398 | Tlc Medical Transport LLC | Non-emergency Medical Transport (VAN) | 14425 College Blvd, Suite 111, Lenexa, KS 66215 | 2017-08-31 |
| 1376991091 | Abbie Elizabeth Martin | Nurse Practitioner | 1220 W. 106th Street, Suite 230, Overland Park, KS 66215 | 2016-06-03 |
| 1093199051 | Janita-jade Coffey | Nurse Practitioner | 10600 Quivira Rd Ste 320, Overland Park, KS 66215 | 2015-07-18 |
| 1518349109 | Timothy James Kamerzell | Internal Medicine | 10601 Quivira Rd Ste 200, Overland Park, KS 66215 | 2015-06-19 |
| 1245633916 | Maria Kintu | Licensed Practical Nurse | 12316 W 79th Terr, Lenexa, KS 66215 | 2014-10-08 |
| Find all providers in zip 66215 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205917481 | David B Shuck | Obstetrics & Gynecology | 14352 Metcalf Ave, Overland Park, KS 66223-2987 | 2006-10-17 |
| 1295737633 | Charles W Butrick | Obstetrics & Gynecology | 6730 W 121st St, Overland Park, KS 66209-2002 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134466444 | Elizabeth Gontero Hudek | Obstetrics & Gynecology | 5607 Canterbury Rd, Fairway, KS 66205-2620 | 2013-01-07 |
| 1316231699 | Christina Y. Parr | Obstetrics & Gynecology | 110 W 15th St, Eudora, KS 66025-9548 | 2011-06-04 |
| 1609105477 | Glenn Shigeo Hara | Obstetrics & Gynecology | 13450 S Moonlight Rd, Olathe, KS 66061-9693 | 2009-12-08 |
| 1821279399 | Paragyn Surgical LLC | Obstetrics & Gynecology | 551 N Hillside St Ste 330, Wichita, KS 67214-4926 | 2007-11-26 |
| 1720159072 | John Norman Vrtiska | Obstetrics & Gynecology | 112 Ross Blvd, Suite A, Dodge City, KS 67801-7219 | 2006-11-10 |
| 1831145408 | Roseanne M Olmstead | Obstetrics & Gynecology | 1902 S Hwy 59 Ste 301, Parsons, KS 67357-4948 | 2006-05-25 |
| 1649248766 | Vimal Goyle | Obstetrics & Gynecology | 1150 N St. Francis, Wichita, KS 67214 | 2006-03-14 |
| 1679567127 | Kevin E Miller | Obstetrics & Gynecology | 3232 E Murdock St, Wichita, KS 67208-3003 | 2005-09-09 |
| 1609308824 | Misbiw | Obstetrics & Gynecology | 8440 E 29th St N, Suite 800, Wichita, KS 67226-3406 | 2017-03-28 |
| 1912302175 | Manhattan Gynecology | Obstetrics & Gynecology | 2900 Amherst Ave, Suite B, Manhattan, KS 66503-3043 | 2014-10-30 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66215 |
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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.