Ksmo Orthopedics LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

KSMO ORTHOPEDICS LLC

Practice address

4940 W 137TH St
Overland Park, KS 66224-5940

Phone

(913) 427-0060

Fax

(913) 372-5792

NPI assigned

Nov 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosemarie Isaily

Title

Sr VP of Operations

Phone

(312) 819-2849

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1104691450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545900",
            "telephone_number": "312-819-2849",
            "fax_number": "312-981-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 W 137TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662245940",
            "telephone_number": "913-427-0060",
            "fax_number": "913-372-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSMO ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "ISAILY",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "SR VP OF OPERATIONS",
        "authorized_official_telephone_number": "312-819-2849"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Krouse, P.T.
• Ashley Krstic, AGACNP-BC
• Andrew Fredric Krueger, D.C.
• Crystal Krueger, FNP
• Harold A Krueger, D.D.S.
• Ku Medwest Ambulatory Surgery Center, LLC
• Andrew Ralph Kubalik
• Rhyan Kubik
• Leigh A Kubin, CCC-SPL
• Sara Marie Kuckelman, MD

• Sports Medicine (Orthopaedic Surgery) Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.