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MIDWEST DIVISION SPINE CARE LLC NPI 1477739803


NPI Information

NPI: 1477739803
Provider Name: MIDWEST DIVISION SPINE CARE LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
5701 W 119TH ST
SUITE 215
OVERLAND PARK, KS
ZIP 66209
Phone: (888) 942-2774
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MIDWEST DIVISION SPINE CARE LLC is an orthopaedic surgery in Overland Park, KS. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MIDWEST DIVISION SPINE CARE LLC NPI is 1477739803. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5701 W 119TH ST
SUITE 215
OVERLAND PARK, KS
ZIP 66209-721
Phone: (888) 942-2774
Fax: (866) 807-1897

The provider's authorized official is Patrick J Kueny .
The authorized official title is Vp and has the following contact phone number (816) 276-9280.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 11/11/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200613630BMEDICAIDKANSAS
21477739803MEDICAIDMISSOURI
3MA1110MEDICARE PINMISSOURI
4200613630AMEDICAIDKANSAS
5200613630CMEDICAIDKANSAS
6KA1133MEDICARE PINKANSAS
7DN5189OTHERMISSOURIRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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