LARRY DONALD CORDELL (NPI# 1578567384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578567384 |
| Entity Type | Individual |
| Full Name | LARRY DONALD CORDELL |
| Credential | MD |
| Practice Address |
3901 Rainbow Blvd Ms 3017 Kansas City KS 66160 |
| Practice Telephone | 9135886100 |
| Practice Fax Number | 9135888186 |
| Mailing Telephone | 9135886100 |
| Mailing Fax Number | 9135888186 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2012-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | C32504 | CA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 38333 | CO | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | R7372 | MO | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 04-13939 | KS | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
04-13939 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100093800C | 05 | |
| KS | 100093800E | 05 | |
| KS | 100093800F | 05 | |
| KS | 100093800B | 05 | |
| KS | 100093800D | 05 | |
| MO | 1578567384 | 05 |
| Street Address |
3901 RAINBOW BLVD MS 3017 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243368 | University of Kansas Hospital Authority | Clinic/Center | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-10-21 |
| 1043825532 | Manan Karki | Anesthesiology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-09-10 |
| 1245843887 | May Alorainy | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-24 |
| 1205447158 | Akshaya Prabhakaran Sduha | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-13 |
| 1205446622 | Syed Muhammad Abbas Hussain | Psychiatry & Neurology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-08-01 |
| 1265059505 | Bradley Michael Coomes | Nurse Anesthetist, Certified Registered | 3901 Rainbow Blvd, Department of Anesthesiology 2037 Delp, Kansas City, KS 66160 | 2020-07-02 |
| 1063039519 | Cassie Lynn Joly | Nurse Practitioner | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-07-01 |
| 1225654478 | Frederico Augusto Duarte Villa-chan Filho | Internal Medicine | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-24 |
| 1881219954 | Anand Dharia | Neurological Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-14 |
| 1558986760 | Michael John Terry Jr. | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871092882 | Spine Cin of Kansas City LLC | Orthopaedic Surgery | 111 W 10th St Ste 101, Kansas City, MO 64105-1700 | 2018-02-05 |
| 1962964023 | Smo Care of Mo II, LLC | Orthopaedic Surgery | 111 W 10th St Ste 101, Kansas City, MO 64105-1700 | 2019-04-05 |
| 1417419581 | Smo Care of Mo, LLC | Orthopaedic Surgery | 111 W 10th St Ste 101, Kansas City, MO 64105-1700 | 2019-04-05 |
| 1518466523 | Joint Replacement Cin of Kansas City LLC | Orthopaedic Surgery | 111 W 10th St Ste 102, Kansas City, MO 64105-1700 | 2018-02-05 |
| 1932495769 | Joshua Thomas Bunch | Orthopaedic Surgery | 3901 Rainbow Blvd # Ms 3017, Kansas City, KS 66160-1902 | 2011-06-20 |
| 1649237983 | Mark (nmi) Bernhardt | Orthopaedic Surgery | 4320 Wornall Rd, Suite 610, Kansas City, MO 64111-5941 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285616649 | Alan Moskowitz | Orthopaedic Surgery | 7550 W Village Cir, Ste. 1, Wichita, KS 67205-9363 | 2005-11-18 |
| 1811979271 | Mark Camden Whitaker | Orthopaedic Surgery | 10100 E Shannon Woods St, Suite 100, Wichita, KS 67226-4104 | 2005-11-18 |
| 1982912622 | Max Franco De Carvalho | Orthopaedic Surgery | 2500 Canterbury Dr, Hays, KS 67601-2247 | 2010-09-15 |
| 1841432937 | Theodore Damian Koreckij | Orthopaedic Surgery | 3651 College Blvd, Leawood, KS 66211-1910 | 2009-04-03 |
| 1639335490 | Steven Thomas Ericksen | Orthopaedic Surgery | 7550 West Village Circle, Ste. 1, Wichita, KS 67205 | 2008-07-31 |
| 1114954740 | Charles D Pence | Orthopaedic Surgery | 1947 Founders St, Wichita, KS 67206-3548 | 2006-06-27 |
| 1205884889 | John M Ciccarelli | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-05 |
| 1942268289 | Premier Spine Care, P.a. | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-03 |
| 1114985355 | Adrian P Jackson | Orthopaedic Surgery | 5525 W 119th St, Suite 210, Overland Park, KS 66209-3718 | 2006-05-03 |
| 1487626982 | Christopher C Kain | Orthopaedic Surgery | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
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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.