LEAVENWORTH ORAL & MAXILLOFACIAL SURGEONS PA (NPI# 1609841493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609841493 |
| Entity Type | Organization |
| Organization Name | LEAVENWORTH ORAL & MAXILLOFACIAL SURGEONS PA |
| Practice Address |
3550 S 4th St Suite 240 Leavenworth KS 66048-5071 |
| Practice Telephone | 9137724334 |
| Practice Fax Number | 9137720851 |
| Mailing Telephone | 9137724334 |
| Mailing Fax Number | 9137720851 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LARRY D EVANS (PRESIDENT) |
| Authorized Official Telephone | 9137724334 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
4672 | KS | Dental Providers |
| Street Address |
3550 S 4TH ST SUITE 240 |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760476063 | Womens Clinic Associates Pa | Obstetrics & Gynecology | 3550 S 4th St, Ste 150, Leavenworth, KS 66048-5071 | 2005-09-01 |
| 1942817556 | App of Kansas Ed, Pllc | Emergency Medicine | 3550 S 4th St, Leavenworth, KS 66048-5071 | 2020-09-28 |
| 1639719180 | Dynamos Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3550 S 4th St, Leavenworth, KS 66048-5071 | 2020-01-13 |
| 1124489083 | Prime Healthcare Services - Leavenworth Surgery Center, LLC | Clinic/Center | 3550 S 4th St, Suite G1, Leavenworth, KS 66048-5071 | 2016-03-18 |
| 1225440696 | Card Oral and Maxillofacial Surgery | Dentist | 3550 S 4th St, Suite 240, Leavenworth, KS 66048-5071 | 2014-05-20 |
| 1225238868 | Aaron Sterling Card | Dentist | 3550 S 4th St, Suite 240, Leavenworth, KS 66048-5071 | 2007-07-23 |
| 1316143126 | Care for Women, LLC | Obstetrics & Gynecology | 3550 S 4th St, Suite 282, Leavenworth, KS 66048-5071 | 2007-06-27 |
| 1982717476 | Dr. Jon M Moore, An Operating Division of Saint John Hospital | Surgery | 3550 S 4th St, Suite 260, Leavenworth, KS 66048-5071 | 2006-08-17 |
| 1013965862 | William Maxime Buron IIi | Nurse Practitioner | 3550 S 4th St, Leavenworth, KS 66048-5071 | 2006-05-04 |
| 1093783599 | Jarod Joseph Marcotte | Physician Assistant | 3550 S 4th St, Ste 200, Leavenworth, KS 66048 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356316202 | Larry D Evans | Dentist | 3550 S 4th St, Suite 240, Leavenworth, KS 66048-5071 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063624989 | Robert M. Wood, Dds | Dentist | 2445 Sw Wanamaker Rd, Topeka, KS 66614-5470 | 2007-05-04 |
| 1144245010 | Stephen D Zeller | Dentist | 3033 Sw Villa West Dr, Topeka, KS 66614-4487 | 2006-07-13 |
| 1841228715 | James Thomas Muller | Dentist | 1133 College Ave, Suite 201 Bldg D, Manhattan, KS 66502-2770 | 2006-06-29 |
| 1356316137 | Steven D Green | Dentist | 8919 Parallel Pkwy, Suite 480, Kansas City, KS 66112-1636 | 2006-02-23 |
| 1851366926 | Harold D Wallin Jr. | Dentist | 8919 Parallel Pkwy, Suite 480, Kansas City, KS 66112-1636 | 2006-02-21 |
| City | LEAVENWORTH |
| Zip Code | 66048 |
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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.