TAINA JAUSURAWONG HUDSON (NPI# 1972922698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972922698 |
| Entity Type | Individual |
| Full Name | TAINA JAUSURAWONG HUDSON |
| Practice Address |
5808 W 110th St Overland Park KS 66211-2504 |
| Mailing Address |
2401 Gillham Rd Kansas City MO 64108-4619 |
| Practice Telephone | 9136968000 |
| Practice Fax Number | 8163029939 |
| Mailing Telephone | 8162343000 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
2017013107 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
5808 W 110TH ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779906 | Angela J Croom | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2005-12-01 |
| 1619502473 | David Vanderhofe | Social Worker | 5808 W 110th St, Overland Park, KS 66211-2504 | 2020-03-11 |
| 1366095283 | Kimberly Renee Periman | Nurse Practitioner | 5808 W 110th St, Overland Park, KS 66211-2504 | 2019-07-19 |
| 1912461997 | Taryn Gort | Registered Nurse | 5808 W 110th St, Overland Park, KS 66211-2504 | 2019-01-24 |
| 1407325186 | Caley Jo Dykstra | Nurse Practitioner | 5808 W 110th St, Overland Park, KS 66211 | 2018-11-25 |
| 1881182723 | Erika O Kokoruda | Social Worker | 5808 W 110th St, Overland Park, KS 66211-2504 | 2018-04-26 |
| 1720524846 | Childrens Mercy Hospital | Pharmacy | 5808 W 110th St, Overland Park, KS 66211-2504 | 2017-01-12 |
| 1689129991 | Linda Ahmu | Dietitian, Registered | 5808 W 110th St, Overland Park, KS 66211-2504 | 2016-08-17 |
| 1952715427 | Margaret Koos | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-06-12 |
| 1376954461 | Amornluck Krasaelap | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-05-12 |
| 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 | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376954461 | Amornluck Krasaelap | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2014-05-12 |
| 1578901153 | Gracielle Nicole Bahia | Pediatrics | 5808 W 110th St, Overland Park, KS 66211-2504 | 2013-06-05 |
| 1174782395 | Valentine Enemuo | Pediatrics | 10550 Quivira Rd Ste 520, Overland Park, KS 66215-2307 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073728002 | Osama Farouq Almadhoun | Pediatrics | 3901 Rainbow Blvd # Ks, Dept of Pediatrics, Mail Stop 3063, Kansas City, KS 66160-8500 | 2007-05-12 |
| 1114120466 | Mayssa Zayat | Pediatrics | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2007-06-06 |
| 1437368263 | Lana N. Hattar | Pediatrics | 818 N Emporia St, Suite 107, Wichita, KS 67214-3729 | 2007-05-21 |
| 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.