RENUVA HEALTH LLC (NPI# 1801155486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801155486 |
| Entity Type | Organization |
| Organization Name | RENUVA HEALTH LLC |
| Other Organization Name | RENUVA BACK AND PAIN CENTER |
| Practice Address |
10787 Nall Ave Suite 110 Overland Park KS 66211-1375 |
| Mailing Address |
1343 Nw Main St Lees Summit MO 64086-9322 |
| Practice Telephone | 9136672829 |
| Practice Fax Number | 9132543064 |
| Mailing Telephone | 8165259090 |
| Mailing Fax Number | 8165259052 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| Authorized Official Name | DR. MICHAEL GREEN (ASSOCIATE D.C.) |
| Authorized Official Telephone | 9136672829 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0105401 | KS | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| RENUVA BACK AND PAIN CENTER | Doing Business As Name - Organization |
| Street Address |
10787 NALL AVE SUITE 110 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370161 | Christa Ruble Balanoff | Surgery | 10787 Nall Ave, Suite 220, Overland Park, KS 66211-1375 | 2005-07-18 |
| 1629510326 | College Park Endoscopy Center, LLC | Clinic/Center | 10787 Nall Ave, Suite 100, Overland Park, KS 66211-1375 | 2016-11-11 |
| 1689003345 | Holly C Bachman | Physician Assistant | 10787 Nall Ave, Suite 220, Overland Park, KS 66211-1375 | 2013-11-04 |
| 1063847812 | Jayhawk Primary Care Inc | Internal Medicine | 10787 Nall Ave, Ste 310, Overland Park, KS 66211-1375 | 2013-09-12 |
| 1770918526 | Monica Davis Pfeiffer | Nurse Practitioner | 10787 Nall Ave, Ste 310, Overland Park, KS 66211-1375 | 2013-09-12 |
| 1013271410 | Kenai Dialysis LLC | Clinic/Center | 10787 Nall Ave, Ste 130, Overland Park, KS 66211-1375 | 2012-06-29 |
| 1164781795 | Michael Green | Chiropractor | 10787 Nall Ave, Suite 110, Overland Park, KS 66211-1375 | 2012-05-16 |
| 1033344122 | Kathryn Timm | Nurse Practitioner | 10787 Nall Ave, Suite 200, Overland Park, KS 66211-1375 | 2009-05-19 |
| 1982845970 | Jayhawk Primary Care Inc | Internal Medicine | 10787 Nall Ave, Ste. 310, Overland Park, KS 66211-0000 | 2009-03-20 |
| 1265615587 | Southwind Anesthesia Services, P.a. | Anesthesiology | 10787 Nall Ave, Suite 100, Overland Park, KS 66211-1231 | 2007-12-10 |
| Find all providers in the same location | ||||
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689359 | Andrew L Todd | Chiropractor | 6800 W 91st St, Overland Park, KS 66212-1453 | 2020-11-02 |
| 1336752591 | Johnathan Chase Carlin | Chiropractor | 10985 Cody St Ste 100, Overland Park, KS 66210-1219 | 2020-08-27 |
| 1538780465 | Joshua Whitmore | Chiropractor | 12101 W 110th St Ste 200, Overland Park, KS 66210-3935 | 2020-05-01 |
| 1871127985 | Katie Marie Muller | Chiropractor | 9621 W 87th St, Overland Park, KS 66212-4570 | 2020-02-27 |
| 1932748282 | Jessica Langel | Chiropractor | 7418 W 121st St, Overland Park, KS 66213-1203 | 2020-01-04 |
| 1750936290 | Roling Chiropractic and Wellness LLC | Chiropractor | 11818 W 135th St, Overland Park, KS 66221 | 2019-08-01 |
| 1083267637 | Virtue Chiropractic LLC | Chiropractor | 6511 W 119th St, Overland Park, KS 66209-2001 | 2019-07-23 |
| 1003469529 | Back On Track Chiropractic & Acupuncture LLC | Chiropractor | 9904 College Blvd, Overland Park, KS 66210-1756 | 2019-07-23 |
| 1447803630 | Nicholas James Swickard | Chiropractor | 15050 Antioch Rd Ste 102, Overland Park, KS 66221-8503 | 2019-07-17 |
| 1518519339 | Joshua Dale Roling | Chiropractor | 11818 West 135th Street, Overland Park, KS 66221 | 2019-07-11 |
| Find all providers in OVERLAND PARK | ||||
| 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.