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Kansas Opt Out List

This table is sortable by Specialty and Name. In order to sort the table, you will need to actually select the table titles.

Revised October 27, 2014

Specialty Name Effective Dates National Provider Identifier
01 Burns, MD, Troy A. 03/03/2010 - 03/02/2016 1609931138
01 Holbrook III, MD, Charles R. 03/29/2010 - 03/28/2016 1568461556
01 Klug, DO, Bethany S. 04/23/2010 - 04/22/2016 1235260480
01 Watson, MD, George 09/01/2004 - 08/31/2014 1669648606
02 Malley, MD, Stephen D. 01/01/2010 - 12/31/2015 1003839648
07 Buxton, MD, Matthew G. 01/01/2009 - 12/31/2014 1063410488
08 Brooks, MD, Douglas G. 11/26/2012 - 11/25/2014 1447292305
08 Burge, MD, Nancy 09/09/2011 - 09/08/2013
11/01/2013 - 10/31/2015
1053356485
08 Davis, MD, Jeffrey P. 07/01/2014 - 06/30/2016 1285675413
08 Gibson, MD, Brian E. 01/01/2010 - 12/31/2011
03/01/2012 - 02/28/2016
1740257138
08 Gupta, MD, Debra L. 11/22/2010 - 12/31/2014 1134170848
08 Hunninghake, MD, Ronald E. 09/01/2014 - 08/31/2016 1679689392
08 Laccheo, MD, Michael L. 12/30/2010 - 12/29/2014 1689786386
08 Lill, DO, Susan R. 01/01/2014 - 12/31/2015 1871555466
08 Murray, MD, Jane L. 01/01/2008 - 12/31/2015 1922102276
08 Strehlow, MD, Mark D. 04/01/2013 - 03/31/2015 1215939608
08 Sullivan, MD, Garrett G. 10/28/2013 - 10/27/2015 1740300094
08 Tague, MD, Rick R. 10/01/2009 - 09/30/2015 1922075993
08 Yarbrough, MD, Gary 01/01/2012 - 12/31/2015 1629160619
11 Alexander, DO, Shelley L. 03/11/2013 - 03/10/2015 1063437176
11 Dunlap, MD, John L. 08/01/2014 - 07/31/2016 1265426506
11 Tarm, MD, Felix 07/01/2011 - 06/30/2015 1932160116
16 Grainger, MD, David A. 10/29/2013 - 10/28/2015 1558372102
16 Richardson, MD, Marilyn R. 08/20/2014 - 08/19/2016 1790707529
16 Shuck, DO, David B. 08/25/2010 - 08/24/2016 1205917481
16 Tatpati, MD. Laura 10/29/2013 - 10/28/2015 1073584728
16 Tjaden, MD, Bruce L. 10/29/2013 - 10/28/2015 1497715916
18 Durrie, MD, Daniel S. 07/01/2008 - 06/30/2016 1952305526
18 Stahl, MD, Jason E. 01/01/2005 - 12/31/2014 1205830627
19 Addy, DDS, Nancy L. 01/01/2006 - 12/31/2015 1962419127
19 Alton, DDS, Greg M. 03/01/2014 - 02/28/2016 1609854256
19 Anderson, DDS, Justin R. 05/10/2012 - 05/09/2016 1669445805
19 Armstrong, DDS, Jeffery, W. 06/12/2012 - 06/22/2015 1427162858
19 Baba, DDS, Joseph G. 01/21/2013 - 01/20/2015 1114016441
19 Baker DDS, Lynne K. 06/01/2008 - 05/31/2016 1366554685
19 Baker, DDS, Roger D. 02/01/2012 - 01/31/2016 1538169487
19 Bennett, DDS, Brenton L. 06/01/2012 - 05/31/2014 1629011929
19 Bennett, DDS, Richard L. 06/01/2012 - 05/31/2014 1033153945
19 Brown, DDS, Rodney C. 05/01/2014 - 04/30/2016 1003980526
19 Colt, DDS, Robert B. 01/29/2009 - 01/28/2011
04/25/2011 - 04/24/2015
1104023506
19 Cotton, DDS, Kenneth D. 11/30/2011 - 11/29/2015 1669433835
19 Crittenden, DMD, Robert M. 04/23/2014 - 04/23/2016 1437144458
19 Cummings, DDS, Jane L. 09/11/2014 - 09/10/2016 1710903620
19 Davis, DDS, Joshua W. 03/01/2014 - 02/28/2016 1487880282
19 Dold, DDS, Michael A. 03/01/2014 - 02/28/2016 1891774535
19 Dold, DDS, Steven W. 03/01/2014 - 02/28/2016 1356603575
19 Edwards, DDS, Mark C. 04/01/2014 - 03/31/2016 1760492318
19 Fain, DDS, Douglas W. 01/01/2010 - 12/31/2015 1013996115
19 Farrell, DDS, Brendan T. 06/12/2013 - 06/11/2015 1033311733
19 Gasaway DDS, Sara A. 03/01/2014 - 02/28/2016 1699082180
19 Gatti, DDS, Joseph R. 03/24/2009 - 03/24/2015 1437262938
19 Gatti, DDS, Robert F. 05/01/2014 - 04/30/2016 1982916482
19 Grosdidier, DDS, Jarrett S. 11/01/2011 - 10/31/2015 1770669814
19 Harvey, DDS, Joseph M. 06/25/2013 - 06/24/2015 1134233547
19 Hund, DDS, Paul 07/08/2011 - 07/07/2015 1831276815
19 Johnston, DDS, Bruce M. 03/05/2012 - 03/04/2016 1780752345
19 Kunz, DDS, Matthew F. 07/01/2014 - 06/30/2016 1285049387
19 Kynaston, DDS, Brian L. 11/28/2011 - 11/27/2015 1699827360
19 Lenz, DDS, Matthew T. 09/21/2012 - 09/20/2016 1477606762
19 Malone, DDS, Michelle E. 06/01/2012 - 05/31/2016 1437470960
19 McKnight III, DDS, Sidney A. 02/01/2005 - 01/31/2009
04/13/2009 - 04/12/2015
1346426129
19 McQuillen, DDS, John D. 01/14/2013 - 01/13/2015 1164459822
19 Mitsch, DMD, Paul 04/09/2009 - 04/08/2015 1386734473
19 Nellor, DDS, Lesley 07/01/2013 - 06/30/2015 1477991792
19 Ochs DDS, Richard A. 07/22/2014 - 07/21/2016 1659331031
19 Oliver, DDS, Neale R. 02/01/2005 - 01/31/2009
04/13/2009 - 04/12/2015
1245416023
19 Paoni, DDS, Christopher Jon 06/04/2012 - 06/03/2016 1982607651
19 Perry, DMD, Matthew A. 11/28/2011 - 11/27/2015 1053549626
19 Phye, DDS, Bryant E. 03/01/2014 - 02/28/2016 1700864816
19 Phye, DDS, Vanessa C. 03/01/2014 - 02/28/2016 1891773438
19 Saunders, DDS, Susan M. 05/10/2012 - 05/09/2016 1366413783
19 Schopper, DDS, Lynne M. 10/23/2013 - 10/22/2015 1306815949
19 Schulte, DDS, Stephen G. 07/01/2014 - 06/30/2016 1578679353
19 Speake, DDS, Bruce 11/05/2009 - 11/04/2015 1548232630
19 Stark, DDS, Frederick 07/18/2013 - 07/17/2015 1699901595
19 Thompson, DDS, Kelley S. 05/01/2014 - 04/30/2016 1386675825
19 Tran, DDS, Nancy T. 01/21/2013 - 01/20/2015 1033200811
19 Warden, DDS, Stephanie M. 05/15/2014 - 05/14/2016 1437138633
19 Whitlow, DDS, William R. 07/03/2013 - 07/02/2015 1316968035
19 Wilkerson, DDS, Brian C. 05/10/2012 - 05/09/2016 1164493581
19 Wilson, DDS, Angela N. 04/01/2014 - 03/31/2016 1659381218
19 Williams, DDS, David W. 03/05/2012 - 03/04/2016 1083759765
19 Zeller, DDS, Stephen D. 04/02/2010 - 04/01/2016 1144245010
20 Gupta, MD, Ganesh G. 01/01/2011 - 12/31/2014 1801897111
24 Bennett, MD, Danny L. 09/01/2006 - 08/31/2016 1558481192
24 Cortez, MD, Edwin 04/01/2000 - 03/31/2016 1013076769
24 Koegel, MD, Andrea M. 12/28/2012 - 12/27/2014 1407855901
26 Aponte Urdaneta, MD, Carolina 01/25/2012 - 01/24/2016 1659546968
26 Birdsell, MD, Michelle 07/30/2008 - 07/29/2016 1386838605
26 Brewington, MD, Richard 10/01/2010 - 09/30/2014 1558483511
26 Brown, MD, Michael D. 07/30/2008 - 07/29/2016 1225067655
26 Grewal, MD, Rimi 08/24/2012 - 08/23/2016 1831201268
26 Hale, MD, William R. 01/01/2010 - 12/31/2015 1386687697
26 Hugo. MD, Zachary 07/01/2012 - 06/30/2014
09/08/2014 - 09/07/2016
1891951521
26 Jones, MD, Douglas O. 07/24/2013 - 07/23/2015 1366536724
26 Kulick, MD, Eric M. 04/01/2010 - 03/31/2016 1063436392
26 Lake, MD, Charles R. 07/22/2013 - 07/21/2015 1477632982
26 Laue, MD, Cathy Shaffia 10/07/2013 - 10/06/2015 1407931405
26 L'Ecuyer, MD, John F. 01/01/2008 - 12/31/2015 1255404190
26 Mack, MD, William J. 08/16/2013 - 08/15/2015 1598704736
26 Martin, MD, Judy K. 07/01/2008 - 06/30/2016 1881862407
26 Moore, MD JR, Rubin M. 10/15/2012 - 10/14/2014 1598929507
26 Robbins, MD, Linda C. 08/26/2014 - 08/25/2016 1871709089
26 Samuelson, MD, Stephen 07/30/2008 - 07/29/2016 1932139466
26 Sonnenschein, MD, Kenneth 07/30/2008 - 07/29/2016 1366488868
26 Wurster, MD, George R. 07/01/2013 - 06/30/2015 1639247737
41 Avila, OD, Michele R. 10/01/2010 - 09/30/2014 1861621724
41 Grosdidier, OD, Kelly F. 01/01/2005 - 12/31/2006
07/01/2008 - 06/30/2016
5117415697
43 Keller, CRNA, Ronald J. 11/28/2011 - 11/27/2015 1629048210
50 Bridges, NP, Barbara L. 01/01/2008 - 12/31/2015 1275637522
50 Forsyth, APRN, Toni M. 01/01/2014 - 12/31/2015 1376706499
50 Rindner, NP, Ellen C. 10/01/2012 - 09/30/2014 1972642676
50 Smith, NP, Diana L. 10/22/2013 - 10/21/2015 1902800600
50 Zivnuska, ARNP, Joleen M. 07/01/2014 - 06/30/2016 1760599146
68 Anderson, PhD, Paul W. 03/25/2013 - 03/24/2015 1235166604
68 Bartlett, PhD, Alice B. 09/05/2012 - 09/04/2016 1346470416
68 Briggs, PhD, Steven 07/01/2006 - 06/30/2016 1831148568
68 Danda, PhD, Caroline E. 02/01/2011 - 01/31/2015 1376760124
68 Graham, PhD, Peter 07/01/2010 - 06/30/2016 1215092721
68 Gryczkowski, PhD, Michelle R. 09/18/2012 - 09/17/2014 1073813804
68 Hale, PhD, Lisa R. 02/01/2011 - 01/31/2015 1558570705
68 Hillila, PsyD, S. Christine 01/07/2011 - 01/06/2015 1437214665
68 Jacobs, PhD, Amy M. 02/13/2013 - 02/12/2015 1154303659
68 Jacobsen, PhD, Amy M. 02/01/2011 - 01/31/2015 1669662698
68 Jaeger, PhD, Jeffrey A. 08/01/2014 - 07/31/2016 1326398694
68 Kerr, PhD, Amy E. 04/03/2014 - 04/03/2016 1942882454
68 McGilley, PhD, Beth 01/28/2010 - 01/27/2014
03/19/2012 - 03/18/2016
1376580100
68 McKay, PhD, Brock L. 01/30/2009 - 01/29/2015 1982627345
68 Mikinski, PhD, Tamara C. 03/01/2010 - 02/28/2016 1801930177
68 Ochester, PsyD, Tracy E. 01/01/2014 - 12/31/2015 1639117575
68 Patton, PhD, Trever L. 04/01/2011 - 03/31/2015 1013952134
68 Purvis, PhD, Patricia C. 02/13/2013 - 02/12/2015 1578650313
68 Smith, PhD, Ashley J. 02/01/2011 - 01/31/2015 1134383193
68 Stacy, PhD, Scott 07/01/2010 - 06/30/2016 1356406060
68 Taylor, PhD, Leticia A. 01/31/2014 - 01/30/2016 1225220858
68 Vincent, PhD, James J. 02/13/2013 - 02/12/2015 1285658468
80 Bartel, LSCSW, Shelley L. 06/24/2014 - 06/23/2016 1932322757
80 Oelklaus, LCSW, Kirsten A. 08/06/2014 - 08/05/2016 1215011978
80 Thomas, LCSW, Nancy L. 02/10/2014 - 02/09/2016 1003820507
85 Collier, DDS, Kirk C. 01/01/2010 - 12/31/2015 1306825401
85 Green, DDS, Steven D. 07/01/2009 - 06/30/2015 1356316137
85 Lowe, DDS, Matthew C. 01/23/2014 - 01/22/2016 1902170483
85 Marrs, DDS, Tyson E. 01/01/2010 - 12/31/2015 1174730097
85 Martin, DDS, Kurt F. 02/07/2012 - 02/06/2016 1306825476
85 Miller, DDS, Craig E. 02/07/2012 - 02/06/2016 1043263858
85 Nielson, DDS, Daniel C. 04/16/2014 - 04/15/2016 1629016308
85 Oakley, DDS, Richard M. 02/07/2011 - 02/06/2015 1992843510
85 Roholt, DDS, Ronald L. 02/07/2012 - 02/06/2016 1629057088
85 Schugel, DDS, Thomas K. 01/01/2010 - 12/31/2015 1548249634
85 Wallin, DDS, Harold D. 07/01/2009 - 06/30/2015 1851366926
85 Wright, DDS, Bradley C. 09/01/2013 - 08/31/2015 1043228398
93 Bauerschimidt, MD, Michael 09/01/2014 - 08/31/2016 1326034729

Page Last Updated: Friday, 24-Oct-2014 10:39:44 CDT