BRAD STORM MD LLC (NPI# 1982205308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982205308 |
Entity Type | Organization |
Organization Name | BRAD STORM MD LLC |
Practice Address |
23351 Prairie Star Pkwy Ste 275 Lenexa KS 66227-6201 |
Mailing Address |
7500 College Blvd Ste 500 Overland Park KS 66210-4043 |
Practice Telephone | 9138154701 |
Practice Fax Number | 9138154703 |
Mailing Telephone | 9138154705 |
Mailing Fax Number | 9139154703 |
Enumeration Date | 2020-11-03 |
Last Update Date | 2020-11-03 |
Authorized Official Name | CATHI S SMITH (PRACTICE MANAGER) |
Authorized Official Telephone | 9138154705 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100120050C | 05 |
Street Address |
23351 PRAIRIE STAR PKWY STE 275 |
City | LENEXA |
State | KS |
Zip Code | 66227-6201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952871352 | Bariatric Eating Disorders Solutions, LLC | Social Worker | 23351 Prairie Star Parkway, Suite A275, Lenexa, KS 66227 | 2018-11-28 |
1538671946 | The Bariatric Center of Kansas City LLC | Special Hospital | 23401 Prairie Star Pkwy # 350, Lenexa, KS 66227 | 2017-10-26 |
1881124279 | Andrea Lynn Percy | Speech-Language Pathologist | 9861 Saddletop St, Lenexa, KS 66227 | 2017-06-18 |
1609267913 | Freedom Physical Therapy and Training Center Pa | Clinic/Center | 7732 Hedge Lane Terrace, Shawnee, KS 66227 | 2015-02-09 |
1992945307 | Kc Bariatric, LLC | Specialist | 23401 Prairie Star Parkway, Suite B-300, Lenexa, KS 66227 | 2009-02-25 |
1871984161 | Don Dequine Jr. | Physical Therapist | 7732 Hedge Lane Terrace, Shawnee, KS 66227 | 2015-02-09 |
1356753321 | Michael K Johnson | Podiatrist | 9300 Meadow View Dr, Ste 101, Lenexa, KS 66227 | 2014-05-27 |
1629634472 | Nancy Jane Jarboe | Physical Therapy Assistant | 7112 Aminda Dr, Shawnee, KS 66227-2116 | 2019-05-17 |
1255772059 | Laura E Hernandez | Dietitian, Registered | 7100 Aminda Dr, Shawnee, KS 66227-2116 | 2013-07-10 |
1326646258 | Rl Kansas City 2, LLC | Assisted Living Facility | 7150 Silverheel St, Shawnee, KS 66227-2132 | 2020-10-13 |
Find all providers in zip 66227 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396802898 | Eric Swanson | Surgery | 11413 Ash, Leawood, KS 66211 | 2007-01-03 |
1235184888 | Plastic Surgery, P.a. | Surgery | 4701 College Blvd, Suite 206, Leawood, KS 66211-1603 | 2006-05-23 |
1598724031 | Nicky R Wheeler | Surgery | 1700 Waterfront Parkway, Bldg 200, Wichita, KS 67206 | 2006-03-22 |
1598748055 | Mona A Rane | Surgery | 109 E. 11th Street, Liberal, KS 67901-2762 | 2005-11-29 |
1760478713 | Joseph T Poggi | Surgery | 3510 N. Ridge Road, Suite 100, Wichita, KS 67205-1210 | 2005-09-26 |
1609436815 | Kalila Anne Steen | Surgery | 4801 W 135th St, Leawood, KS 66224-8901 | 2019-06-19 |
1891247326 | Lawrence Physicians LLC | Surgery | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2016-11-01 |
1538403175 | Singhal Plastic Surgery Pa | Surgery | 5250 W 94th Ter, Prairie Village, KS 66207-2502 | 2012-11-20 |
1750642450 | Heather Lorita Pena | Surgery | 823 Sw Mulvane St, Ste 200, Topeka, KS 66606-1764 | 2012-05-30 |
1043570823 | Elizabeth Anne Killion | Surgery | 4801 W 135th St, Leawood, KS 66224 | 2012-05-25 |
Find all providers with the same taxonomy |
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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.