SHAWNEE MISSION MEDICAL CENTER INC (NPI# 1023171634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023171634 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Other Organization Name | ADVENTHEALTH SHAWNEE MISSION |
| Practice Address |
9100 W 74th St Merriam KS 66204-4004 |
| Practice Telephone | 9136762000 |
| Practice Fax Number | 9136767571 |
| Mailing Telephone | 9136762000 |
| Mailing Fax Number | 9136767571 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | KARSTEN G RANDOLPH (EXECUTIVE VP & CFO) |
| Authorized Official Telephone | 9136762152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H046004 | KS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 011062106 | 05 | |
| KS | 100093850A | 05 | |
| KS | BLUE CROSS | 90003016 | 01 |
| KS | CHILDREN'S MERCY FAMILY H | 463869 | 01 |
| KS | UHC | 5020565 | 01 |
| KS | HEALTHLINK | 536816 | 01 |
| FL HOSP HEALTH CARE SYSTE | 100017 | 01 |
| Other Name | Type Code |
|---|---|
| AdventHealth Shawnee Mission | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551144 | Shawnee Mission Medical Center Inc | Family Medicine | 15710 W 135th St Ste 200, Olathe, KS 66062-1508 | 2017-11-15 |
| 1316450133 | Shawnee Mission Medical Center Inc | Family Medicine | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2017-11-15 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1750323937 | Shawnee Mission Medical Center Inc | Home Health | 7312 Antioch Rd, Merriam, KS 66204-2739 | 2006-06-12 |
| 1235792003 | Shawnee Mission Medical Center Inc | Clinical Medical Laboratory | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-04-17 |
| 1801184262 | Shawnee Mission Medical Center Inc | Pharmacy | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2011-07-19 |
| 1720142565 | Shawnee Mission Medical Center Inc | Psychiatric Unit | 9100 W 74th St, Merriam, KS 66204-4004 | 2006-12-19 |
| 1720146970 | Shawnee Mission Medical Center Inc | Pharmacy | 9100 W. 74th St, Shawnee Mission, KS 66204 | 2006-12-04 |
| 1992735690 | Shawnee Mission Medical Center Inc | Internal Medicine | 9100 W 74th St, Merriam, KS 66204-4004 | 2006-07-05 |
| Street Address |
9100 W 74TH ST |
| City | MERRIAM |
| State | KS |
| Zip Code | 66204-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710514716 | Angela Cronister | Registered Nurse | 9100 W 74th St, Merriam, KS 66204-4004 | 2020-03-27 |
| 1912541939 | Christine A Mary | Nurse Practitioner | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-11-01 |
| 1871137190 | Allison Marie Larocca | Behavioral Analyst | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-10-30 |
| 1346883436 | Ashley Grace Thomas | Behavior Technician | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-10-22 |
| 1720621105 | Michel Rene Maneth | Behavior Technician | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-10-18 |
| 1427691815 | Blair Stacy | Behavior Technician | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-10-18 |
| 1619510039 | Jill Anne Hessler | Behavior Technician | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-10-18 |
| 1912540394 | Michelle Wanstreet | Behavior Technician | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-10-18 |
| 1083257471 | Megan Marie Hausfeld | Behavior Technician | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-10-18 |
| 1235792003 | Shawnee Mission Medical Center Inc | Clinical Medical Laboratory | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124424981 | Supplemental Health Care | General Acute Care Hospital | 6700 Antioch Rd Ste 120, Merriam, KS 66204-1200 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921029 | Topeka Er Hospital LLC | General Acute Care Hospital | 6135 Sw 17th Street, Topeka, KS 66604 | 2020-01-14 |
| 1992341473 | Mercy Specialty Hospital Southeast Kansas | General Acute Care Hospital | 1619 K66, Galena, KS 66739-4306 | 2019-11-20 |
| 1518454842 | Rock Regional Hospital, LLC | General Acute Care Hospital | 3251 Rock Road, Derby, KS 67037 | 2018-04-23 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1639624141 | Matthew Tyler Howard | General Acute Care Hospital | 2032 Sudler, Ku Med Center, Kansas City, KS 66160-0001 | 2016-08-25 |
| 1780137265 | Herington Municipal Hospital | General Acute Care Hospital | 100 E Helen, Herington, KS 67449-1697 | 2016-08-01 |
| 1396097317 | City of Galena-kansas | General Acute Care Hospital | 1619 K 66, Galena, KS 66739 | 2012-10-15 |
| 1871885491 | Robert J. Dole Va | General Acute Care Hospital | 613 E. Showalter, Rose Hill, KS 67133-9770 | 2011-05-16 |
| 1023334950 | Ascension Via Christi Hospital St Teresa Inc. | General Acute Care Hospital | 14800 W Saint Teresa St, Wichita, KS 67235-9602 | 2010-04-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.