Basic Information
Provider Information | |||||||||
NPI: | 1336188242 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | ORTHOPEDIC HEALTH OF KANSAS CITY P.C. | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: | DRISKO, FEE & PARKINS PC | ||||||||
OtherOrganizationType: | 4 | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1950 DIAMOND PARKWAY | ||||||||
Address2: | STE 100 | ||||||||
City: | NORTH KANSAS CITY | ||||||||
State: | MO | ||||||||
PostalCode: | 64116 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8165613003 | ||||||||
FaxNumber: | 8168891584 | ||||||||
Practice Location | |||||||||
Address1: | 1950 DIAMOND PARKWAY SUITE #100 | ||||||||
Address2: |   | ||||||||
City: | NORTH KANSAS CITY | ||||||||
State: | MO | ||||||||
PostalCode: | 64116 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8165613003 | ||||||||
FaxNumber: | 8168891584 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/06/2006 | ||||||||
LastUpdateDate: | 06/03/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | WISE | ||||||||
AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
AuthorizedOfficialMiddleName: | L | ||||||||
AuthorizedOfficialTitleorPosition: | DOCTOR | ||||||||
AuthorizedOfficialTelephone: | 8163032400 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 06/03/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X |   | MO | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |   |
No ID Information.