OVERLAND PARK KIDNEY, LLC (NPI# 1710454327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710454327 |
| Entity Type | Organization |
| Organization Name | OVERLAND PARK KIDNEY, LLC |
| Practice Address |
5721 W 119th St Overland Park KS 66209-3722 |
| Mailing Address |
14012 Outlook St Overland Park KS 66223-2956 |
| Practice Telephone | 9134986000 |
| Mailing Telephone | 8163528040 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | RICHARD CAPLING (OWNER) |
| Authorized Official Telephone | 8163528040 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | STATE LICENSE | 05-32943 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10500 Quivira Rd, Overland Park, KS 662152306 | 9135415000 | |
| 2100 Se Blue Pkwy, Lees Summit, MO 640631007 | 8162825000 | |
| 12201 W 110th St, Overland Park, KS 662104045 | 9134515984 | |
| 12110 Holmes Rd, Kansas City, MO 641451707 | 8665446741 |
| Street Address |
5721 W 119TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66209-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891799557 | William Martin Chase | Radiology | 5721 W 119th St, Overland Park, KS 66209-3722 | 2005-06-10 |
| 1912520446 | Anna Polodna | Registered Nurse | 5721 W 119th St, Overland Park, KS 66209-3722 | 2020-05-19 |
| 1356974679 | Wound Integrity Kansas Pa | Family Medicine | 5721 W 119th St, Overland Park, KS 66209-3722 | 2020-02-14 |
| 1407497720 | Krystal Marie Katzer | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-10-08 |
| 1386207025 | Tyson Mark Frost | Nurse Anesthetist, Certified Registered | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-04-18 |
| 1487112215 | Elizabeth Allison Ruth Graham | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-03-11 |
| 1730646647 | Allison Hayden Bertken | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3753 | 2019-02-27 |
| 1659878874 | Jonathan E Mowrey | Student in an Organized Health Care Education/Training Program | 5721 W 119th St, Overland Park, KS 66209-3722 | 2018-04-13 |
| 1710496351 | Katherine Wilson | Nurse Practitioner | 5721 W 119th St, Overland Park, KS 66209-3722 | 2017-09-27 |
| 1720519358 | Travis Hamm | Registered Nurse | 5721 W 119th St, Overland Park, KS 66209-3722 | 2017-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016729 | Kansas City Kidney Specialists | Internal Medicine | 11661 College Blvd, Overland Park, KS 66210 | 2018-06-08 |
| 1154875631 | Dialysis Clinic Inc | Internal Medicine | 12200 W 106th St, Suite 210, Overland Park, KS 66215-2305 | 2016-08-12 |
| 1982085403 | Kidney Care Center Kansas LLC | Internal Medicine | 6740 W 121st St, Suite 100, Overland Park, KS 66209-2002 | 2015-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427509751 | Medicine and Nephrology Clinic LLC | Internal Medicine | 700 W Central Ave Ste 206, El Dorado, KS 67042-2186 | 2016-10-21 |
| 1487068326 | Michael Babigumira | Internal Medicine | 401 E Spruce Street, Garden City, KS 67846-1121 | 2014-06-18 |
| 1558510172 | Munis Azim Mattu | Internal Medicine | Kumc Division of Nephrology, 3901 Rainbow Blvd, Ms 3018, Kansas City, KS 66160-0001 | 2008-09-18 |
| 1043404940 | Pierre J Souraty | Internal Medicine | 1035 North Emporia, Suite 105, Wichita, KS 67214-2998 | 2007-09-04 |
| 1306966965 | Matthew Todd Reed | Internal Medicine | 1035 N Emporia St Ste 105, Wichita, KS 67214-2943 | 2007-03-29 |
| 1275692295 | Richard A Schumacher | Internal Medicine | 1295 E 151st St, Suite 7, Olathe, KS 66062-3427 | 2006-12-06 |
| 1497712491 | Dennis Charles Artzer | Internal Medicine | 631 Sw Horne, Suite 420, Topeka, KS 66606 | 2006-04-26 |
| 1548235575 | Paula S Pond | Internal Medicine | 1035 North Emporia, Suite 105, Wichita, KS 67214-2998 | 2006-02-22 |
| 1497734891 | Aisha Shaikh | Internal Medicine | 818 N Emporia St Ste 310, Wichita, KS 67214-3727 | 2006-01-13 |
| 1598769549 | Michael B Lambert | Internal Medicine | 6850 Hilltop Rd, Ste 100, Shawnee, KS 66226-3532 | 2005-06-08 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66209 |
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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.