KS Iom LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

KS IOM LLC

Practice address

918 E Lakecrest Dr
Andover, KS 67002-9343

Phone

(918) 895-7680

Fax

(918) 236-4646

NPI assigned

Nov 12, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Shehan

Title

Billing

Phone

(918) 895-7680

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1619579794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720762",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704590",
            "telephone_number": "918-895-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 E LAKECREST DR",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029343",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS IOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "SHEHAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "918-895-7680"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIRTH DATE",
            "identifier": "11171975",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "valerie@ansmonitoring.com",
            "affiliation": "N",
            "address_1": "1715 S Baltimore Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741194807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Knaak
• Miranda Marie Kober
• Amel Komic, M.D.
• John H Koppenhaver IV, MA, LCP
• Levi Krolikowski, PHARMD
• KS Womens Health Clinic
• Laboratory Corporation of America Holdings
• Laboratory Corporation of America Holdings
• Charles S Landers, PA-C
• Lindsay Marie Landers, D.O.

• Surgical Technologist in Andover, KS
• Providers in Andover, KS by specialty
• Surgical Technologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.