Active NPI 1396721668 Individual Practitioner Male Practitioner

Dr. Christopher George Lewis , DO

Surgery • Paola, KS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Lewis, DO is a certified Surgery practicing in Paola, KS. With approximately 27 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 1999, Dr. Lewis delivers high-quality medical care to the local community at 2102 BAPTISTE DR.

Dr. Lewis is affiliated with Kansas University Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2102 Baptiste Dr
Suite #d

Paola, KS 660711314

Telephone 9135570700

Fax 9135579088

Associated Practice Facility / Clinic

🏢 Affiliated Heartland Podiatry Facility NPI 1023141496

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Paola, KS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Paola, KS (376 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lewis (27 Years) 27 Yrs

Paola Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	140	139	$602.67	$226.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	112	102	$329.43	$68.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$474.61	$152.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$351.18	$166.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$422.75	$159.46
45381 Injection beneath lining of large bowel using a flexible endoscope	27	27	$476.07	$14.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	16	$288.04	$109.07
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$473.96	$165.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	16	$247.64	$132.82
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	20	$292.00	$85.26
43249 Balloon dilation of esophagus using an endoscope	21	13	$1349.33	$138.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$406.00	$118.32
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	20	20	$1701.30	$642.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$493.12	$166.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$208.88	$90.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$190.81	$72.68
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$476.38	$165.76
45380 Biopsy of large bowel using an endoscope	15	15	$478.80	$114.37
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$477.33	$157.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$588.67	$202.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$360.08	$102.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	132	129	$813.64	$229.18
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	101	99	$600.08	$69.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$324.65	$155.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	30	$250.18	$110.21
45381 Injection beneath lining of large bowel using a flexible endoscope	38	36	$315.87	$19.18
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	33	33	$807.58	$163.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$389.03	$163.03
45380 Biopsy of large bowel using an endoscope	29	29	$493.41	$73.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	21	$307.38	$130.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$429.50	$204.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$218.64	$119.30
43249 Balloon dilation of esophagus using an endoscope	22	17	$486.18	$135.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$308.00	$167.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$429.95	$169.03
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	19	19	$1705.58	$650.48
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	18	$799.42	$161.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	13	$173.53	$74.29
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$386.21	$84.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$219.62	$91.42
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$613.85	$155.84
49525 Repair of sliding groin hernia	12	12	$1267.33	$521.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	123	109	$624.20	$79.57
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	110	109	$789.09	$234.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	31	$245.00	$97.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$318.00	$158.23
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	46	46	$391.30	$93.23
45381 Injection beneath lining of large bowel using a flexible endoscope	40	40	$307.50	$15.24
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	38	37	$809.21	$169.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$215.00	$121.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	32	$380.00	$187.41
45378 Diagnostic exam of large bowel using a flexible endoscope	29	28	$568.97	$159.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$300.00	$171.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$420.00	$209.94
45380 Biopsy of large bowel using an endoscope	20	20	$537.00	$110.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$170.00	$67.26
43249 Balloon dilation of esophagus using an endoscope	19	14	$463.16	$119.83
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$385.42	$93.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$798.22	$164.28
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1615.88	$646.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$318.00	$128.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$215.00	$93.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$300.00	$138.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$420.00	$174.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$213.00	$105.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	125	115	$303.64	$67.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	106	104	$849.00	$239.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$430.00	$155.43
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	45	45	$457.11	$77.24
45381 Injection beneath lining of large bowel using a flexible endoscope	39	38	$340.00	$15.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$279.00	$123.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	22	$198.00	$68.21
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	34	32	$582.41	$170.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$542.00	$190.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	25	$375.00	$172.15
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$578.64	$154.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	18	$283.00	$98.08
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$540.00	$210.24
43233 Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope	22	22	$637.23	$211.02
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$321.60	$92.78
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	18	18	$2056.00	$667.75
43249 Balloon dilation of esophagus using an endoscope	18	11	$462.50	$119.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	12	$279.00	$91.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$540.00	$168.59
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	16	16	$435.88	$155.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$430.00	$129.67
45380 Biopsy of large bowel using an endoscope	15	15	$596.00	$125.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$278.00	$106.14
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$575.08	$168.14
47562 Removal of gallbladder using an endoscope	11	11	$2022.00	$613.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	126	110	$305.00	$73.33
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	85	81	$849.00	$248.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$430.00	$156.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	52	$279.00	$103.54
45381 Injection beneath lining of large bowel using a flexible endoscope	53	50	$340.00	$15.52
45380 Biopsy of large bowel using an endoscope	34	34	$526.00	$95.33
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	33	32	$442.00	$77.51
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$185.00	$71.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	20	$198.00	$70.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$542.00	$197.68
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$593.33	$162.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$278.00	$103.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	16	$283.00	$102.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$279.00	$77.21
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$585.05	$177.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$540.00	$164.68
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$583.39	$167.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$375.00	$109.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$375.00	$141.20
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	15	15	$486.07	$172.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$540.00	$200.81
47562 Removal of gallbladder using an endoscope	13	13	$2022.00	$610.61
43233 Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope	12	11	$652.00	$224.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	136	118	$320.36	$80.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	98	95	$843.78	$247.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	78	$278.25	$104.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$429.45	$157.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	45	$541.80	$196.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	29	$282.45	$100.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	30	$374.85	$139.61
99213 Established patient office or other outpatient visit, typically 15 minutes	36	34	$184.80	$70.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$539.70	$163.06
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$599.50	$182.66
45381 Injection beneath lining of large bowel using a flexible endoscope	30	30	$339.90	$15.94
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$558.23	$170.25
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$544.09	$155.83
45380 Biopsy of large bowel using an endoscope	27	27	$556.11	$102.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$374.85	$107.80
47562 Removal of gallbladder using an endoscope	22	22	$2090.80	$630.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$539.70	$198.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$277.20	$103.09
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	14	14	$475.20	$152.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	77	$265.00	$101.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$409.00	$155.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	73	70	$309.68	$91.36
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$176.00	$68.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	43	43	$771.00	$243.78
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	32	32	$545.00	$179.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$357.00	$137.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$264.00	$101.37
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	26	26	$588.46	$167.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$516.00	$194.18
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$530.68	$176.03
45380 Biopsy of large bowel using an endoscope	18	18	$559.72	$136.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$514.00	$195.65
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$482.23	$155.92
45381 Injection beneath lining of large bowel using a flexible endoscope	12	12	$309.00	$16.01
47562 Removal of gallbladder using an endoscope	11	11	$1838.00	$621.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	100	$176.00	$67.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	104	96	$275.23	$71.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	85	$265.00	$99.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$409.00	$152.15
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	64	61	$510.00	$130.62
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	47	$748.35	$239.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	34	$357.00	$136.21
45380 Biopsy of large bowel using an endoscope	31	31	$419.35	$70.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$516.00	$193.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$264.00	$101.30
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$524.08	$163.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$514.00	$194.61
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$545.00	$175.42
45381 Injection beneath lining of large bowel using a flexible endoscope	18	18	$309.00	$15.71
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$484.56	$154.88
43233 Balloon dilation of esophagus, stomach, and/or upper small bowel using an endoscope	16	14	$518.25	$192.77
43250 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope	13	13	$363.46	$121.66
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$315.09	$103.42

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KS 0531491

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200337110A (KS)

Hospital & Practice Group Affiliations

Kansas University Physicians Inc

11300 Corporate Ave, Lenexa, KS 662191368

Kansas University Physicians Inc

2100 Baptiste Dr, Paola, KS 660711314

Phone: 9135881227

Kansas University Physicians Inc

3901 Rainbow Blvd, Kansas City, KS 661607330

Phone: 9135886144

Kansas University Physicians Inc

2102 Baptiste Dr, Paola, KS 660711314

Kansas University Physicians Inc

3901 Rainbow Blvd, Kansas City, KS 661608500

Phone: 9135887013

Kansas University Physicians Inc

4000 Cambridge St, Kansas City, KS 661608500

Kansas University Physicians Inc

4000 Cambridge St, Kansas City, KS 661608501

Phone: 9135881227

Kansas University Physicians Inc

10700 Nall Ave, Overland Park, KS 662111236

Phone: 9135881227

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. David Burnett , DPM

Podiatrist - Foot Surgery

NPI 1356358790

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 17, 2014

Registered at 2102 BAPTISTE DR, SUITE #D, PAOLA, KS 660711314 (Tel: 9135570700)

📍

Updated Business Mailing Address December 17, 2014

Registered at 2102 BAPTISTE DR, SUITE #D, PAOLA, KS 660711314 (Tel: 9135570700)

👤

Provider Name / Credentials Updated December 17, 2014

Recorded as CHRISTOPHER LEWIS, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2014

Surgery (License #0531491 in KS)

🟢

Initial NPI Registration & Enumeration December 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1396721668

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 19, 2005

Last Update: December 17, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2102 Baptiste Dr, Suite #d

Paola, KS 660711314

Phone: 9135570700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.