SHAWNEE MISSION MEDICAL CENTER INC (NPI# 1235792003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235792003 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Practice Address |
9100 W 74th St Merriam KS 66204-4004 |
| Mailing Address |
7315 E Frontage Rd Ste 202 Merriam KS 66204-1658 |
| Practice Telephone | 9136762000 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | KARSTEN RANDOLPH (CFO) |
| Authorized Official Telephone | 9136762152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| 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 |
| 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 |
| 1023171634 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 9100 W 74th St, Merriam, KS 66204-4004 | 2006-12-18 |
| 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 |
| 1306380886 | Heather Otwell | Nurse Practitioner | 9100 W 74th St, Merriam, KS 66204-4004 | 2016-12-19 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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|---|---|---|---|---|
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| 1811510027 | Clinical Reference Laboratory, Inc. | Clinical Medical Laboratory | 1121 W Old Highway 56, Olathe, KS 66061-5256 | 2020-05-21 |
| 1124667951 | Sinochips Kansas LLC | Clinical Medical Laboratory | 2002 W 39th Ave Ste G029, Kansas City, KS 66103-2943 | 2019-12-26 |
| 1346725637 | Excel Clinical Laboratory Service | Clinical Medical Laboratory | 1133 College Ave Ste 145, Manhattan, KS 66502-2770 | 2018-10-02 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1831612670 | 4m Healthcare, LLC | Clinical Medical Laboratory | 15110 Glenwood Ave, Overland Park, KS 66223-3338 | 2017-07-24 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1912386491 | Intelligenedx LLC | Clinical Medical Laboratory | 10900 S Clay Blair Blvd, Ste 1400, Olathe, KS 66061-1301 | 2015-05-29 |
| 1164835823 | Central Medical Laboratory, LLC | Clinical Medical Laboratory | 8960 Commerce Dr, Building 6, De Soto, KS 66018 | 2014-06-10 |
| 1891121943 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 507 16th Street, Suite #1, Wellington, KS 67152-2828 | 2013-09-20 |
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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.