DAVID DUETHMAN (NPI# 1922111418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922111418 |
| Entity Type | Individual |
| Full Name | DAVID DUETHMAN |
| Credential | MD |
| Practice Address |
4401 Wornall Rd Kansas City MO 64111-3220 |
| Mailing Address |
Po Box 78009 Saint Louis MO 63178-8009 |
| Practice Telephone | 8169322047 |
| Mailing Telephone | 8668987142 |
| Mailing Fax Number | 6169759824 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2005005831 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 35366013 | 01 | |
| RAILROAD MEDICARE | P00252271 | 01 |
| Street Address |
4401 WORNALL RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818345 | Lisa Marie Hermes | Physical Medicine & Rehabilitation | 4401 Wornall Rd, Rehab Physicians Medical Group, Main 4, Kansas City, MO 64111-3220 | 2005-06-01 |
| 1821697160 | Johnny Todd Linard | Nurse Practitioner | 4401 Wornall Rd, Kansas City, MO 64111-3241 | 2020-10-19 |
| 1942813662 | Stephen Senne | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-08-24 |
| 1316556137 | Danielle Mcadams | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-28 |
| 1801414719 | Michelle Lee Foltz | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-07-07 |
| 1720602089 | Brittany Mcquain | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-06-02 |
| 1366065211 | Sonny Thanh Phan | Nurse Anesthetist, Certified Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-05-27 |
| 1215550454 | Robert Charles Mix | Nurse Anesthetist, Certified Registered | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-05-22 |
| 1528689981 | Amanda Hill | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-27 |
| 1538789193 | Amber Bergmann | Registered Nurse | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1013210301 | John Henry Beckett | Emergency Medicine | 9415 Ne 91st St, Kansas City, MO 64157-8663 | 2010-12-08 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
| 1639494412 | Lukuman Olumide Afuwape | Emergency Medicine | 2411 Holmes St # M2-302, Umkc School of Medicine Residency Program, Kansas City, MO 64108-2741 | 2010-04-05 |
| 1639365687 | Blaine Mitsuyuki Okino | Emergency Medicine | 920 Main St Ste 300, Kansas City, MO 64105-2008 | 2007-09-23 |
| 1487712808 | Adedapo Adeyemi Oduye | Emergency Medicine | 1600 Genessee St, 561, Kansas City, MO 64102-1039 | 2006-12-05 |
| 1235297920 | Preston Brent Koprivica | Emergency Medicine | 10127 Leavenworth Rd, Kansas City, KS 66109-3050 | 2006-12-05 |
| 1487749859 | Shane Randall Christensen | Emergency Medicine | 7900 Lees Summit Road, Kansas City, MO 66139 | 2006-10-03 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.