Kansas Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

04-27772 Issued in KS

Legal business name

KANSAS PLASTIC SURGERY, LLC

Practice address

10111 E 21St St N Ste 305
Wichita, KS 67206-3581

Phone

(316) 305-9618

Fax

(316) 440-9701

NPI assigned

Dec 19, 2016

Last updated

Apr 7, 2021By 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

Dr. Kenton W Schoonover, MDNPI 1780611178

Title

Owner

Phone

(316) 305-9618

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenton W Schoonover, MD

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1780611178
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin K Miller, APRN

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1619255312
  Medicare reassignment Care Compare group NPD
• Omar Elfanagely, MD

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1932639093
  NPD
• Keyona Jo Hensley, APRN

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1831715218
  NPD (past)
• April Kientz, APRN-C

  • Family Nurse Practitioner
  • Manhattan, KS
  • NPI 1063756765
  NPD (past)
• James M Shaw, M.D.

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1457459364
  NPD (past)
• Vanessa Lynn Voge, MD

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1487876207
  NPD (past)

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1720523251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 305",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063581",
            "telephone_number": "316-305-9618",
            "fax_number": "316-440-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 E 21ST ST N STE 305",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063581",
            "telephone_number": "316-305-9618",
            "fax_number": "316-440-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "SCHOONOVER",
        "authorized_official_first_name": "KENTON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-305-9618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "04-27772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kansasplasticsurgery@protonmail.com",
            "affiliation": "N",
            "address_1": "10111 E 21st St N Ste 305",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672063581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Kansas Professional Anesthesia and Pain Management Specialists, P.a.
• Kansas Regenerative and Pain Specialists LLC
• Kansas Sleep Medicine, LLC
• Kansas Spine & Specialty Hospital, L.L.C. (Kansas Spine & Specialty Hospital Pain Center)
• Kansas Spine & Specialty Hospital, L.L.C.

• Plastic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.