BLAINE MITSUYUKI OKINO (NPI# 1639365687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639365687 |
| Entity Type | Individual |
| Full Name | BLAINE MITSUYUKI OKINO |
| Credential | M.D. |
| Practice Address |
920 Main St Ste 300 Kansas City MO 64105-2008 |
| Practice Telephone | 8083224400 |
| Mailing Telephone | 8083224400 |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2015-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD15229 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | TRAINING CERTIFICATE | 57.011806 | 01 |
| Street Address |
920 MAIN ST STE 300 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64105-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548609308 | Margaret Rosalie Osburn | Registered Nurse | 920 Main St Ste 300, Kansas City, MO 64105-2008 | 2013-06-14 |
| 1194980409 | Jiten Natvar Lad | Emergency Medicine | 920 Main St Ste 300, Attn Dr. Jiten Lad, Kansas City, MO 64105-2008 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851457469 | Midamerica Alliance for Access Corporation | Case Management | 311 Delaware St., #102 #a, Kansas City, MO 64105 | 2006-12-28 |
| 1396352753 | Alexis Cornelio | Pharmacist | 425 Washington St Apt 409, Kansas City, MO 64105-1115 | 2020-09-29 |
| 1295243475 | Nikita Shah | Dentist | 210 W 5th St Apt 101, Kansas City, MO 64105-1165 | 2018-01-22 |
| 1225541477 | Access Personal Care | Case Management | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2017-11-09 |
| 1396803748 | Wray Robert Williams | Chiropractor | 317 Delaware St, Kansas City, MO 64105-1215 | 2006-12-05 |
| 1710599287 | River Market Dental LLC | Clinic/Center | 317 Delaware St, Kansas City, MO 64105-1215 | 2020-08-17 |
| 1316417413 | Accelerated Medical Distributing, LLC | Durable Medical Equipment & Medical Supplies | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2018-11-30 |
| 1346731122 | John Tyler Zagorec | Dentist | 317 Delaware St, Kansas City, MO 64105-1215 | 2018-05-29 |
| 1427555051 | Scripted Healthcare System | Durable Medical Equipment & Medical Supplies | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2018-04-10 |
| 1093220766 | Access Personal Care LLC | In Home Supportive Care | 311 Delaware St # 102a, Kansas City, MO 64105-1215 | 2017-12-04 |
| Find all providers in zip 64105 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1013210301 | John Henry Beckett | Emergency Medicine | 9415 Ne 91st St, Kansas City, MO 64157-8663 | 2010-12-08 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
| 1639494412 | Lukuman Olumide Afuwape | Emergency Medicine | 2411 Holmes St # M2-302, Umkc School of Medicine Residency Program, Kansas City, MO 64108-2741 | 2010-04-05 |
| 1487712808 | Adedapo Adeyemi Oduye | Emergency Medicine | 1600 Genessee St, 561, Kansas City, MO 64102-1039 | 2006-12-05 |
| 1235297920 | Preston Brent Koprivica | Emergency Medicine | 10127 Leavenworth Rd, Kansas City, KS 66109-3050 | 2006-12-05 |
| 1487749859 | Shane Randall Christensen | Emergency Medicine | 7900 Lees Summit Road, Kansas City, MO 66139 | 2006-10-03 |
| 1629186770 | Carl Richard Davis | Emergency Medicine | 1102 Ne Parvin Road, #302, Kansas City, MO 64116 | 2006-08-28 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64105 |
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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.