Healthcare Provider Details

I. General information

NPI: 1134167844
Provider Name (Legal Business Name): ADVANCED SPINE & ORTHOPAEDIC SPECIALISTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 03/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10730 NALL AVE SUITE 200
OVERLAND PARK KS
66211-1206
US

IV. Provider business mailing address

PO BOX 411703
KANSAS CITY MO
64141-1703
US

V. Phone/Fax

Practice location:
  • Phone: 913-649-7300
  • Fax: 913-385-5559
Mailing address:
  • Phone: 913-649-7300
  • Fax: 913-385-5559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM O REED
Title or Position: OWNER
Credential: M.D.
Phone: 913-649-7300