PIERRE PODREBARAC (NPI# 1992781157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992781157 |
Entity Type | Individual |
Full Name | PIERRE PODREBARAC |
Credential | MD |
Practice Address |
9411 N Oak Traffic Way Ste 202 Kansas City MO 64155-2262 |
Mailing Address |
9411 N Oak Traffic Way Suite Ll1 Kansas City MO 64155-2262 |
Practice Telephone | 8164688820 |
Practice Fax Number | 8164688898 |
Mailing Telephone | 8164367072 |
Mailing Fax Number | 8164362743 |
Enumeration Date | 2005-12-20 |
Last Update Date | 2010-02-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | 04-26208 | KS | Allopathic & Osteopathic Physicians |
Y | 207Y00000X | Otolaryngology | 1999140782 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 204822506 | 05 |
Street Address |
9411 N OAK TRAFFIC WAY STE 202 |
City | KANSAS CITY |
State | MO |
Zip Code | 64155-2262 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
Find all providers in zip 64155 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811480601 | Omar Ahmad Karadaghy | Otolaryngology | 600 E 8th St Apt 10s, Kansas City, MO 64106-1622 | 2018-06-07 |
1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
1144586124 | Vidur Bhalla | Otolaryngology | 4320 Wornall Rd Ste 512, Kansas City, MO 64111-3235 | 2012-04-04 |
1255628848 | Jeffrey D Markey | Otolaryngology | 2330 E Meyer Blvd Ste T104, Kansas City, MO 64132 | 2011-07-01 |
1710116215 | Konstantinos Kourelis | Otolaryngology | Dept of Otolaryngology Head and Neck Surgery, 3901 Rainbow Boulevard, Kansas City, KS 66160-0001 | 2009-07-07 |
1497882849 | Kiran Kakarala | Otolaryngology | 3901 Rainbow Blvd, Ms 3010, Department of Oto-hns, Kansas City, KS 66160 | 2007-02-27 |
1306900584 | Joseph A Ursick | Otolaryngology | 3100 Broadway Street, Suite 509, Kansas City, MO 64111 | 2006-12-21 |
1295753010 | Kansas City Metropolitan Ear Nose & Throat Pa | Otolaryngology | 9411 N Oak Trafficway, Suite 202, Kansas City, MO 64155 | 2006-07-18 |
1073546578 | Bart C Patenaude | Otolaryngology | 15 E 54th St, Kansas City, MO 64110-2453 | 2006-07-08 |
1841232840 | Christopher G Larsen | Otolaryngology | 3901 Rainbow Blvd # Ms 3010, Kansas City, KS 66160-5941 | 2006-06-12 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64155 |
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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.