NPI 1689829384 · live from the CMS NPI Registry
John Sampson Bleazard, D.O.
Orthopaedic Surgery in Overland Park, KS. National Provider Identifier 1689829384, active.
NPI record
| NPI | 1689829384 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 10701 Nall Ave, Ste 200, Overland Park, KS 66211 |
| Practice phone | 913-381-5225 |
| Mailing address | 12639 Old Tesson Rd, Ste 100, Saint Louis, MO 63128 |
| Enumerated | November 21, 2008 |
| Last updated | July 26, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 2008018690 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.