WEIGHT LOSS SURGICAL CENTER LLC (NPI# 1659461879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659461879 |
Entity Type | Organization |
Organization Name | WEIGHT LOSS SURGICAL CENTER LLC |
Practice Address |
12850 Metcalf Ave Suite 100 Overland Park KS 66213-2622 |
Mailing Address |
12850 Metcalf Ave Overland Park KS 66213-2622 |
Practice Telephone | 9134920160 |
Practice Fax Number | 9134920154 |
Mailing Telephone | 9134920160 |
Mailing Fax Number | 9134920154 |
Enumeration Date | 2006-10-16 |
Last Update Date | 2014-07-14 |
Authorized Official Name | DOUGLAS C PALZER (PRESIDENT) |
Authorized Official Telephone | 9139401675 |
Is Organization Subpart | Y |
Parent Organization Name | BLUE VALLEY HOSPITAL, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 6057905 | KS | Allopathic & Osteopathic Physicians |
Street Address |
12850 METCALF AVE SUITE 100 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66213-2622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568706240 | Michelle Renee Love | Nurse Practitioner | 12850 Metcalf Ave, Overland Park, KS 66213-2622 | 2012-11-19 |
1952629370 | Pinnacle Regional Hospital, Inc. | General Acute Care Hospital | 12850 Metcalf Ave, Overland Park, KS 66213-2622 | 2010-05-10 |
1316262736 | Total Sleep Diagnostics, Inc. | Clinic/Center | 12850 Metcalf Ave, Ste 210, Overland Park, KS 66213-2622 | 2010-03-29 |
1598095580 | Blue Valley Surgical Associates, LLC | Specialist | 12850 Metcalf Ave, Suite 220, Overland Park, KS 66213-2622 | 2010-01-13 |
1720315328 | Blue Valley Anesthesiology, LLC | Anesthesiology | 12850 Metcalf Ave, Overland Park, KS 66213-2622 | 2009-11-03 |
1558433946 | Kc Smile, P.a. | Dentist | 12850 Metcalf Ave, Ste 200, Overland Park, KS 66213-2622 | 2006-11-14 |
1982774295 | Ross S Headley | Dentist | 12850 Metcalf Ave, Ste 200, Overland Park, KS 66213-2622 | 2006-11-08 |
1457453029 | Anthony D Lasalle | Anesthesiology | 12850 Metcalf Ave, Suite 220, Overland Park, KS 66213-2622 | 2006-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003345372 | Nicole Renee Oliphant | Speech-Language Pathologist | 12810 W 133 Pl Apt 3109, Overland Park, KS 66213 | 2017-06-08 |
1770026874 | Alyssa Potter | Physical Therapy Assistant | 12202 Goodman St, Overland Park, KS 66213 | 2016-11-22 |
1164809380 | Jessica Richter | Family Medicine | 10100 W 119th St Ste 150, Overland Park, KS 66213 | 2015-04-27 |
1891180816 | Naresh Kumar Dugal | Podiatrist | 13410 Westgate St Apt 2110, Overland Park, KS 66213 | 2015-04-06 |
1801219456 | Denise Ahnen | Lactation Consultant, Non-RN | 121300 Metcalf Ave, Overland Park, KS 66213 | 2014-01-31 |
1407294986 | Blue Valley Asc, P.a. | Clinic/Center | 12800 Metcalf Avenue Suite 2, Overland Park, KS 66213 | 2013-06-06 |
1023455326 | Duncan Arnold Killen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12542 W. 123rd Terr., Overland Park, KS 66213 | 2013-05-28 |
1821432345 | Seniorbridge Family Companies (mo), Inc. | In Home Supportive Care | 7304 W. 130th Street, Suite 100, Overland Park, KS 66213 | 2013-04-26 |
1538427273 | Charles E Emms D.c., Pa | Chiropractor | 11960 West 119th Street, 11960, Overland Park, KS 66213 | 2012-05-01 |
1194000570 | Phoenix Healthcare Clinic | Family Medicine | 11960 Quivira Road, Suite #100, Overland Park, KS 66213 | 2011-10-17 |
Find all providers in zip 66213 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 |
---|---|---|---|---|
1083148894 | Lauren Welch | Surgery | 9001 W 120th Ter, Overland Park, KS 66213-1538 | 2017-04-18 |
1720475858 | Michael Joannides | Surgery | 5100 W 110th St Ste 110, Overland Park, KS 66211-1215 | 2015-04-15 |
1376798785 | Maria Sheelene Goddard | Surgery | 11936 W 119th St # 158, Overland Park, KS 66213-2216 | 2008-11-26 |
1023130614 | Jesse Joseph Lopez Jr. | Surgery | 14205 Metcalf Ave, Overland Park, KS 66223-3367 | 2007-04-04 |
1447384045 | Gary L Baker, Md., Pa | Surgery | 8787 Ballentine Street, Suite 2800, Overland Park, KS 66214-1987 | 2007-03-15 |
1629119011 | James A Davidson Md PC | Surgery | 5701 W 119 St, Suite 220, Overland Park, KS 66209-3722 | 2007-02-09 |
1003851403 | Amie Christina Jew | Surgery | 10787 Nall Ave Ste 220, Overland Park, KS 66211-1329 | 2006-06-19 |
1578533675 | Corey William Iqbal | Surgery | 10550 Quivira Rd Ste 520, Overland Park, KS 66215-2307 | 2006-01-23 |
1134115728 | Roger Anibal De La Torre | Surgery | 5701 W 119th St Ste 305, Overland Park, KS 66209-3721 | 2005-09-20 |
1659370161 | Christa Ruble Balanoff | Surgery | 10787 Nall Ave, Suite 220, Overland Park, KS 66211-1375 | 2005-07-18 |
Find all providers in OVERLAND PARK |
City | OVERLAND PARK |
Zip Code | 66213 |
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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.