Provider Demographics
NPI:1508864208
Name:BARNTHOUSE, CRIS D (MD)
Entity Type:Individual
Prefix:DR
First Name:CRIS
Middle Name:D
Last Name:BARNTHOUSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3651 COLLEGE BLVD
Mailing Address - Street 2:#100A
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1904
Mailing Address - Country:US
Mailing Address - Phone:913-319-7546
Mailing Address - Fax:913-319-7691
Practice Address - Street 1:3651 COLLEGE BLVD
Practice Address - Street 2:#100A
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1904
Practice Address - Country:US
Practice Address - Phone:913-319-7546
Practice Address - Fax:913-319-7691
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-19966207X00000X
MOR9G73207X00000X
WI45976207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E04987Medicare UPIN
0140007Medicare ID - Type Unspecified