JORDAN JAMES STIVERSON (NPI# 1891321378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891321378 |
| Entity Type | Individual |
| Full Name | JORDAN JAMES STIVERSON |
| Practice Address |
2106 Olathe Blvd Kansas City KS 66160-0001 |
| Mailing Address |
324 N Emporia Ave Apt 202 Wichita KS 67202-2542 |
| Practice Telephone | 9139457493 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 94-10285 | KS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2106 OLATHE BLVD |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831531367 | Rachel Ann Henrickson | Audiologist | 2106 Olathe Blvd, Kansas City, KS 66160-0001 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285894030 | Alosh Madala | Urology | 2340 E Meyer Blvd Ste 382, Kansas City, MO 64132-1129 | 2008-06-16 |
| 1194948778 | Samuel Kuykendall | Urology | 4321 Washington St Ste 5300, Kansas City, MO 64111-5931 | 2007-04-11 |
| 1447399431 | Moben Mirza | Urology | 3901 Rainbow Blvd Ms 3016, Dept of Urology - Univ of Ks Medical Ctr, Kansas City, KS 66160 | 2007-02-06 |
| 1215073143 | Kansas University Physicians Inc | Urology | 5017 Sudler Hall, Mail Stop 3016 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1477536241 | Robert Mark Brenner | Urology | 3610 Baltimore Ave, #4, Kansas City, MO 64111-2115 | 2005-11-24 |
| 1821618877 | Dane Stephens | Urology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2020-04-20 |
| 1558981571 | Sarah Karthika Amalraj | Urology | University of Kansas Medical Center 3901 Rainbow Blvd, Kansas City, KS 66160-0001 | 2020-04-20 |
| 1235769324 | Taylor Renee Joseph | Urology | 2340 E Meyer Blvd, Kansas City, MO 64132-1105 | 2020-01-17 |
| 1639733470 | Ryan Didde | Urology | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-04-26 |
| 1427444678 | Keegan Zuk | Urology | 2750 Clay Edwards Dr Ste 500, Kansas City, MO 64116-3258 | 2015-04-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
Please comment or provide details below to improve the information on JORDAN JAMES STIVERSON.
| 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.