DR. JOSEPH B PETELIN (NPI# 1982658639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982658639 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH B PETELIN |
| Credential | M.D. |
| Practice Address |
9119 W 74th St Suite 255 Shawnee Mission KS 66204-2236 |
| Practice Telephone | 9134325420 |
| Practice Fax Number | 9134327749 |
| Mailing Telephone | 9134325420 |
| Mailing Fax Number | 9134327749 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 4-17417 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
9119 W 74TH ST SUITE 255 |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360743 | Jay A Jackson | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2005-07-19 |
| 1720437007 | Health Partnership Clinic, Inc | Clinic/Center | 9119 W 74th St, Ste 210, Shawnee Mission, KS 66204-2229 | 2016-06-08 |
| 1659730901 | Emily Ingenthron | Physician Assistant | 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204-2215 | 2016-02-15 |
| 1578953162 | Elli Roberts | Physician Assistant | 9119 W 74th St, Suite 150, Shawnee Mission, KS 66204-2215 | 2015-02-03 |
| 1982853610 | M Obadah Al Chekakie | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2008-09-18 |
| 1740455203 | Heath Garris Wilt | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2008-04-25 |
| 1235329889 | Francisco Javier Reyes Martin | Surgery | 9119 W 74th St, Suite 255, Shawnee Mission, KS 66204-2215 | 2007-07-30 |
| 1295814135 | Amy Lynn Giedt | Obstetrics & Gynecology | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-11-02 |
| 1457438376 | Heidi Louise Peck | Physician Assistant | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-11-01 |
| 1992887178 | Ana M Martinez | Obstetrics & Gynecology | 9119 W 74th St, Suite 300, Shawnee Mission, KS 66204-2236 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275861650 | Calvin Ernest Engelmann | Surgery | 2000 West 68 Street, Shawnee Mission, KS 66208-2230 | 2009-11-24 |
| 1407016439 | Casey Patrick Hertzenberg | Surgery | 9119 W 74th St Ste 350, Shawnee Mission, KS 66204-2268 | 2008-06-12 |
| 1285836023 | Lynn Rawson | Surgery | 7450 Kessler St Ste 201, Shawnee Mission, KS 66204-2519 | 2007-06-04 |
| 1144550310 | Prairie Surgical Care | Surgery | 8901 W 74th St, Suite 312, Shawnee Mission, KS 66204-2204 | 2010-01-11 |
| 1720218688 | Ralph Park, M.d., L.L.C. | Surgery | 8901 W 74th Street, Suite 124, Shawnee Mission, KS 66204 | 2009-07-24 |
| 1396988275 | Carlo Jurani Md LLC | Surgery | 8901 W 74th St, Suite 124, Shawnee Mission, KS 66204-2204 | 2009-04-08 |
| 1235329889 | Francisco Javier Reyes Martin | Surgery | 9119 W 74th St, Suite 255, Shawnee Mission, KS 66204-2215 | 2007-07-30 |
| 1386726404 | Thomas L Taylor Md Chartered | Surgery | 8901 W 74th St, #124, Shawnee Mission, KS 66204-2204 | 2006-10-19 |
| 1174605299 | Thomas L Taylor | Surgery | 8901 W 74th St, #124, Shawnee Mission, KS 66204-2204 | 2006-10-19 |
| 1649379447 | Joseph B. Petelin, M.d., Chartered | Surgery | 9119 W 74th St, Suite 255, Shawnee Mission, KS 66204-2236 | 2006-09-21 |
| Find all providers in SHAWNEE MISSION | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
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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.