DR. THEODORE L KITOWSKI (NPI# 1871519223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871519223 |
| Entity Type | Individual |
| Full Name | DR. THEODORE L KITOWSKI |
| Credential | M.D. |
| Practice Address |
708 N 18th St Marysville KS 66508-1338 |
| Practice Telephone | 7855622311 |
| Practice Fax Number | 7855622348 |
| Mailing Telephone | 7855622311 |
| Mailing Fax Number | 7855622348 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
420460 | KS | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
420460 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BC/BS | 047203 | 01 |
| KS | FIRST GUARD | 608180 | 01 |
| Street Address |
708 N 18TH ST |
| City | MARYSVILLE |
| State | KS |
| Zip Code | 66508-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659348589 | Community Memorial Healthcare, Inc. | Medicare Defined Swing Bed Unit | 708 N 18th St, Marysville, KS 66508-1338 | 2006-02-28 |
| 1407263296 | Rebecca Ann Heuer | Nurse Practitioner | 708 N 18th St, Marysville, KS 66508-1338 | 2014-07-14 |
| 1659640134 | Flint Hills Dialysis LLC | Clinic/Center | 708 N 18th St, South Plaza, Marysville, KS 66508-1338 | 2011-12-29 |
| 1750545547 | Community Memorial Healthcare, Inc. | Family Medicine | 708 N 18th St, Marysville, KS 66508-1338 | 2008-07-11 |
| 1558543934 | Community Memorial Healthcare, Inc. | Clinic/Center | 708 N 18th St, Marysville, KS 66508-1338 | 2007-11-28 |
| 1093997470 | Community Memorial Healthcare, Inc | Radiology | 708 N 18th St, Marysville, KS 66508-1338 | 2007-11-28 |
| 1487660809 | Community Memorial Healthcare, Inc. | Nurse Anesthetist, Certified Registered | 708 N 18th St, Marysville, KS 66508-1338 | 2006-07-31 |
| 1558381400 | Michael J Stech | Nurse Anesthetist, Certified Registered | 708 N 18th St, Marysville, KS 66508-1338 | 2006-07-20 |
| 1043236433 | Community Memorial Healthcare, Inc. | Clinic/Center | 708 N 18th St, Marysville, KS 66508-1338 | 2006-07-15 |
| 1750335691 | Dayna K Scheele | Nurse Practitioner | 708 N 18th St, Marysville, KS 66508-1338 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962466383 | Bruces Body Shop Inc | Ambulance | 410 N 6th St, Marysville, KS 66508 | 2006-04-13 |
| 1447334453 | Ar - Ex Drug Store Inc | Durable Medical Equipment & Medical Supplies | 801 Broadway, Marysville, KS 66508 | 2006-10-25 |
| 1730279480 | Blue Valley Health Care, Inc. | Skilled Nursing Facility | 1100 N 16th St, Marysville, KS 66508-1126 | 2006-10-13 |
| 1811913270 | John M Ryan | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-15 |
| 1134423304 | Linda Marie Bott | Nurse Practitioner | 1902 May St, Marysville, KS 66508-1200 | 2011-01-03 |
| 1417963133 | Fernando De La Torre Ugarte | Surgery | 1902 May St, Marysville, KS 66508-1200 | 2006-08-01 |
| 1295749067 | Community Memorial Healthcare, Inc. | Clinic/Center | 1902 May St, Marysville, KS 66508-1200 | 2006-07-28 |
| 1467475186 | John A Haefele | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-25 |
| 1629098843 | Anne C Bruna | Nurse Practitioner | 1902 May St, Marysville, KS 66508-1200 | 2006-07-20 |
| 1992725519 | Randall J Brown | Family Medicine | 1902 May St, Marysville, KS 66508-1200 | 2006-07-19 |
| Find all providers in zip 66508 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093997470 | Community Memorial Healthcare, Inc | Radiology | 708 N 18th St, Marysville, KS 66508-1338 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
| 1205335551 | Elias O Bernard | Radiology | 6505 E Central Ave Ste 208, Wichita, KS 67206-1924 | 2018-02-01 |
| 1346783008 | Saint Luke's Neighborhood Clinics, LLC | Radiology | 4061 Indian Creek Pkwy Ste 110, Overland Park, KS 66207-4030 | 2016-11-29 |
| 1255780029 | John Burns | Radiology | 3901 Rainbow Blvd Dept of Radiology, Kansas City, KS 66160-8500 | 2016-06-12 |
| 1134467210 | Richard Roy Nixon | Radiology | 26671 W 108th Ter, Olathe, KS 66061-7497 | 2013-01-23 |
| 1932456779 | Harley William Volkmann | Radiology | 400 Gehrt Rd, Manhattan, KS 66502-9557 | 2012-08-11 |
| 1194087890 | Joseph Scott Donald II | Radiology | Kumc Radiology, 3901 Raindbow Blvd Ms 4032, Kansas City, KS 66160-0001 | 2012-06-09 |
| 1073872016 | Miriam Estrada Andaya | Radiology | 1902 South U.S. Highway 59, Labette Health, Parsons, KS 67357 | 2012-05-11 |
| 1841558814 | John Thoburn Dundee | Radiology | 1817 Montana Rd, Princeton, KS 66078-9124 | 2012-04-27 |
| 1588894315 | Shaun Robert Best | Radiology | 3901 Rainbow Blvd Ms 4032, Kansas City, KS 66160-0001 | 2009-07-14 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 66508 |
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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.