Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Elaine Bollenbach, MD

Individual provider Surgery Physician · NPI 1104203058

Stephanie Elaine Bollenbach, MD is a General Surgery in Kansas City, Missouri. Graduated from University of Oklahoma College of Medicine in 2015, 11 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
11
Trained at
University of Oklahoma College of Medicine
Licensed in
KS, MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4320 Wornall Rd Ste 530
Kansas City, MO 64111-5942
Phone: (816) 932-2836
Fax: (816) 932-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2020020222 (MO)
Surgery Physician Taxonomy 208600000X · Licence 04-43151 (KS)

Record details

NPI number1104203058
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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