CHILDREN'S MERCY-SHAWNEE MISSION PEDIATRICS, INC (NPI# 1104484245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104484245 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MERCY-SHAWNEE MISSION PEDIATRICS, INC |
| Practice Address |
7450 Kessler Ln Ste 105 Merriam KS 66204-2361 |
| Mailing Address |
2401 Gillham Rd Provider Enrollment Dept Kansas City MO 64108-4619 |
| Practice Telephone | 9133621660 |
| Practice Fax Number | 9133625916 |
| Mailing Telephone | 8167015200 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ROBERT D FINUF II (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 8167015200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
7450 KESSLER LN STE 105 |
| City | MERRIAM |
| State | KS |
| Zip Code | 66204-2361 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346215282 | Johnson County Pediatrics, Pa | Pediatrics | 8800 W 75th Street, Suite 220, Merriam, KS 66204 | 2006-02-22 |
| 1003814567 | Carey Anne Rawson | Pediatrics | 8800 W. 75th Street, Suite 220, Merriam, KS 66204 | 2005-07-08 |
| 1952562456 | Abby Jo Loch | Pediatrics | 8800 W. 75th Street, Suite 220, Merriam, KS 66204 | 2008-06-18 |
| 1942276522 | Christine Park White | Pediatrics | 8800 W. 75th Street, Suite 220, Merriam, KS 66204 | 2006-02-24 |
| 1952309148 | Kathleen Bray Shaffer | Pediatrics | 8800 W. 75th Street, Suite 220, Merriam, KS 66204 | 2005-07-12 |
| 1770581126 | Bryan Claude Nelson | Pediatrics | 8800 W. 75th Street, Suite 220, Merriam, KS 66204 | 2005-07-11 |
| 1518965037 | Mary M Tyson | Pediatrics | 8800 W. 75th Street, Suite 220, Merriam, KS 66204 | 2005-07-08 |
| 1073511507 | Richard Kent Decker | Pediatrics | 8800 W. 75th Street, Suite 220, Merriam, KS 66204 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941306 | Heartland Medical Clinic, Inc | Pediatrics | 1803 W 6th St, Lawrence, KS 66044-1710 | 2020-10-29 |
| 1083239412 | K S Pediatrics LLC | Pediatrics | 6505 E Central Ave Ste 183, Wichita, KS 67206-1924 | 2020-06-11 |
| 1033763461 | Children's Mercy-leawood Pediatrics Inc | Pediatrics | 5401 College Blvd Ste 101, Leawood, KS 66211-1617 | 2019-07-24 |
| 1184281131 | Kansas Pediatric Neurology Center LLC | Pediatrics | 10111 E 21st St N Ste 405, Wichita, KS 67206-3508 | 2019-05-24 |
| 1992239115 | Tomica Dawn Blocker | Pediatrics | Cottonwood Pediatrics, Pa, 700 Medical Center Drive, Ste 150, Newton, KS 67114-9015 | 2017-04-13 |
| 1811438013 | Lauren Hughes | Pediatrics | 2870 W 47th Ave, Kansas City, KS 66103-3243 | 2017-03-20 |
| 1740639509 | Dan Albert Kelly | Pediatrics | 4604 Sw Crenshaw Dr, Topeka, KS 66610-1656 | 2016-06-11 |
| 1104280080 | Cody Jorgensen | Pediatrics | 7846 Garnett St, Lenexa, KS 66214-1417 | 2016-04-07 |
| 1245694181 | Alicia Christina Wolfe | Pediatrics | 12541 Foster St Ste 260, Overland Park, KS 66213-2301 | 2016-04-06 |
| 1033592795 | Kubra Melike Bozkanat | Pediatrics | University of Kansas Hospital Pediatrics, 3901 Rainbow Blvd. M/s 4004, Kansas City, KS 66160-0001 | 2015-06-30 |
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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.