MEDICARE: ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1700870516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	3651 COLLEGE BLVD
Second Line	:	100B
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1904
Country	:	US
Telephone Number	:	913-362-0031
Fax Number	:	913-319-7662

Provider Business Practice Location Address
First Line	:	3651 COLLEGE BLVD
Second Line	:	100B
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1904
Country	:	US
Telephone Number	:	913-362-0031
Fax Number	:	913-319-7662

Authorized Official
Title or Position	:	CLINIC ADMINISTRATOR
Name	:	MR. RANDY JOHNSON
Credential	:
Telephone Number	:	913-319-7534

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	01/21/2015

Similar Medicare Providers

1164420733 — DR. JON E BROWNE M.D.
Practice Location Address:

3651 COLLEGE BLVD , STE 100A
LEAWOOD, KS
66211-1904

Practice Phone: 913-319-7546
Practice Fax: 913-319-7691

1730187741 — DR. STEPHEN KEITH BUBB M.D.
Practice Location Address:

3651 COLLEGE BLVD , 100B
LEAWOOD, KS
66211-1904

Practice Phone: 913-362-0031
Practice Fax: 913-319-7662

1003814849 — RYAN J NETTLES PA-C
Practice Location Address:

3651 COLLEGE BLVD , #100A
LEAWOOD, KS
66211-1904

Practice Phone: 913-319-7546
Practice Fax: 913-319-7691

1780682658 — DR. ANDREW R SCOTT MD
Practice Location Address:

3651 COLLEGE BLVD , #100A
LEAWOOD, KS
66211-1904

Practice Phone: 913-319-7546
Practice Fax: 913-319-7691

1447208327 — DR. JEFFREY T JOYCE MD
Practice Location Address:

3651 COLLEGE BLVD
LEAWOOD, KS
66211-1904

Practice Phone: 816-389-6030
Practice Fax: 816-389-6034

1891743688 — DR. SUSAN S PORTER MD
Practice Location Address:

3651 COLLEGE BLVD
LEAWOOD, KS
66211-1904

Practice Phone: 816-389-6030
Practice Fax: 816-389-6034

Directions to “ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.