MITCHELL CHALLIS (NPI# 1679716732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679716732 |
| Entity Type | Individual |
| Full Name | MITCHELL CHALLIS |
| Practice Address |
5370 College Blvd Overland Park KS 66211-1935 |
| Practice Telephone | 9135994800 |
| Practice Fax Number | 9135992992 |
| Mailing Telephone | 9135994800 |
| Mailing Fax Number | 9135992992 |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 04-37153 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
5370 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790774164 | William Harold Doyle | Dentist | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1621 | 2005-10-19 |
| 1619356326 | Brianna Ganson, Dds, LLC | Dentist | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1935 | 2015-05-27 |
| 1609107853 | Robert J Dockhorn | Spec/Tech, Pathology | 5370 College Blvd, Overland Park, KS 66211-1935 | 2010-01-27 |
| 1568632206 | William H. Doyle,d.d.s.,p.a. | Clinic/Center | 5370 College Blvd, Suite 120, Overland Park, KS 66211-1621 | 2008-03-10 |
| 1073667275 | Mark Stephen Walton | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
| 1942354246 | Steven Frank Ellis | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1891 | 2007-01-23 |
| 1942354014 | Head & Neck Surgery of Kansas City P A | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1935 | 2007-01-23 |
| 1598819849 | Robert F Thompson | Otolaryngology | 5370 College Blvd, Suite 100, Overland Park, KS 66211-1935 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477998284 | Carson Tyler Williams | Otolaryngology | 5370 College Blvd Ste 100, Overland Park, KS 66211-1891 | 2013-05-07 |
| 1073907010 | Guerin Smith | Otolaryngology | 20375 West 151st St, Suite 106, Overland Park, KS 66221 | 2015-03-27 |
| 1548550502 | Christopher Rose | Otolaryngology | 11400 W 135th St, Overland Park, KS 66221-9398 | 2011-04-12 |
| 1437310307 | Bradley John Seaman | Otolaryngology | 5701 W 119th St, Suite 425, Overland Park, KS 66209-3721 | 2008-06-23 |
| 1558326199 | David Todd Rudman | Otolaryngology | 5520 College Blvd, Suite 350, Overland Park, KS 66211-1630 | 2006-04-18 |
| 1972567881 | Thomas P Eyen | Otolaryngology | 5520 College Blvd, Suite 350, Overland Park, KS 66211-1630 | 2006-04-17 |
| 1073576302 | Mark Jeffrey Maslan | Otolaryngology | 5520 College Blvd, Suite 350, Overland Park, KS 66211-1630 | 2006-04-08 |
| 1205898038 | Head and Neck Surgical Associates, Pa | Otolaryngology | 5520 College Blvd, Suite 350, Overland Park, KS 66211-1630 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1811305576 | Roland Dean Williams | Otolaryngology | 6517 Aberdeen Rd, Mission Hills, KS 66208-1822 | 2014-07-25 |
| 1336570019 | Mario J Guastello | Otolaryngology | 2308 Arno Rd, Mission Hills, KS 66208-2251 | 2013-12-06 |
| 1356783286 | Susan B. Allen Memorial Hospital | Otolaryngology | 700 W Central Ave Ste 202, El Dorado, KS 67042-2186 | 2013-07-19 |
| 1821376435 | Javier Cremer | Otolaryngology | 8901 W 74th St Ste 145, Merriam, KS 66204-2271 | 2011-07-31 |
| 1619294972 | Forrest Haroy Kendall Jr. | Otolaryngology | 2505 West 71st Street, Prairie Village, KS 66208 | 2010-04-27 |
| 1871821876 | Richard J Cummings | Otolaryngology | 1258 Burning Tree Drive, Wichita, KS 67230-1410 | 2009-12-02 |
| 1710116215 | Konstantinos Kourelis | Otolaryngology | Dept of Otolaryngology Head and Neck Surgery, 3901 Rainbow Boulevard, Kansas City, KS 66160-0001 | 2009-07-07 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1356524433 | Midwest Ear Nose & Throat Specialists PC | Otolaryngology | 614 S Main, Smith Center, KS 66967 | 2007-12-11 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
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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.