Kansas City Bone & Joint Clinic PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

KANSAS CITY BONE & JOINT CLINIC PA

Practice address

10701 Nall Ave
Suite 200
Overland Park, KS 66211-1231

Phone

(913) 381-5225

Fax

(913) 901-0186

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Mike Stephenson, CMPE

Title

Administrator

Phone

(913) 381-5225

Specialties & licenses 6

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Robert P Bruce, M.D.

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1205864493
  NPD
• Thomas S Samuelson, M.D.

  • Orthopaedic Surgery Physician
  • Overland Park, KS
  • NPI 1376571091
  NPD
• Kara Denise Brunton, ANP

  • Adult Health Nurse Practitioner
  • Overland Park, KS
  • NPI 1083643886
  NPD (past)
• Jon Gertken, MD

  • Physical Medicine & Rehabilitation Physician
  • Saint Joseph, MO
  • NPI 1669670501
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1881648368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111231",
            "telephone_number": "913-381-5225",
            "fax_number": "913-901-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 NALL AVE",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111231",
            "telephone_number": "913-381-5225",
            "fax_number": "913-901-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY BONE & JOINT CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-381-5225",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "00616015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OTHER",
            "identifier": "00616015",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kade David Kanelakos, DC
• Patricia Nyakio Kaniu, LPC
• Kansas Anesthesiology Professionals PA
• Kansas Center for Couples and Families
• Kansas City Allergy & Asthma Associates P a
• Kansas City Cancer Center
• Kansas City Cancer Center, LLC
• Kansas City Cardiac Arrhythmia
• Kansas City Center for Anxiety Treatment, P.a.
• Kansas City Cleft and Craniofacial Center PA

• Orthopaedic Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Orthopaedic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.