NPIMap

Individual provider Active NPI

Seth Marcus Oliphant, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Kansas City, MO
National Provider Identifier
1144519877
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
2016012362 Issued in MO
Practice address
4400 Broadway
Suite 540
Kansas City, MO 64111-3498
Phone
(816) 931-3013
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 04-38924 KS
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 2016012362 MO Primary

Addresses

Primary practice location

4400 Broadway
Suite 540
Kansas City, MO 64111-3498

Mailing address

901 E 104TH St
Mailstop 400S
Kansas City, MO 64131-4517
Phone (816) 502-8755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706002448 KS Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 2062662794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1823 College Ave
Manhattan, KS 66502-3381
Phone (785) 776-3322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Ascension Via Christi Hospital Manhattan, Inc. Current Accepting new patients

Locations

1823 College Ave
Fl 3
Manhattan, KS 66502

1823 College Ave
Manhattan, KS 66502
Phone (785) 539-1704

Interoperability endpoints

  • Direct secure messaging: seth.oliphant.1@20807.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1144519877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E 104TH ST",
            "address_2": "MAILSTOP 400S",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641314517",
            "telephone_number": "816-502-8755",
            "fax_number": "816-932-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY",
            "address_2": "SUITE 540",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-931-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIPHANT",
        "first_name": "SETH",
        "middle_name": "MARCUS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "KS",
            "license": "04-38924",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MO",
            "license": "2016012362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.