SHAWNEE MISSION MEDICAL CENTER INC (NPI# 1316450133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316450133 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Other Organization Name | SPIRA CARE |
| Practice Address |
10824 Shawnee Mission Pkwy Shawnee KS 66203-3512 |
| Mailing Address |
7315 E Frontage Rd Ste 101 Merriam KS 66204-1658 |
| Practice Telephone | 9132977472 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | KARSTEN RANDOLPH (EVP & CFO) |
| Authorized Official Telephone | 9136762152 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SPIRA CARE | Other Name - Individual/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 |
| 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 |
| 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 |
10824 SHAWNEE MISSION PKWY |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66203-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033187 | Spira Care, LLC | Family Medicine | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2020-11-06 |
| 1376175349 | Laura Ann Adam | Nurse Practitioner | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2020-02-07 |
| 1376197558 | Vera Whole Health Ks, Pa | Clinic/Center | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2019-07-26 |
| 1932665122 | Stephanie Marie Tinsley | Nurse Practitioner | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2019-02-13 |
| 1174026868 | Amare Haboro | Nurse Practitioner | 10824 Shawnee Mission Pkwy, Shawnee, KS 66203-3512 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952897621 | Kelsey Rae Nehrig | Physician Assistant | 7420 Switzer Road, Shawnee, KS 66203 | 2018-07-06 |
| 1215452552 | Joshua L Kiene | Dentist | 11005 W 60th St. #240, Shawnee Mission, KS 66203 | 2017-08-08 |
| 1114276730 | Kimberly Rigsby | Marriage & Family Therapist | 8826 Santa Fe Drive, Suite 210, Shawnee, KS 66203 | 2012-08-29 |
| 1851523567 | Sean Cailteux | Chiropractor | 7410 Switzer Rd, Shawnee, KS 66203 | 2009-08-13 |
| 1992228696 | Micha Kimberly Bastian | Pharmacist | 6440 Nieman Rd, Shawnee, KS 66203 | 2017-07-25 |
| 1609275502 | Stacy Corum | Nurse Practitioner | 7440 W Frontage Rd, Merriam, KS 66203 | 2014-08-15 |
| 1285062695 | Elizabeth Marie Frieze | Psychologist | 7501 College Blvd, Suite 250, Overland Park, KS 66203 | 2013-10-22 |
| 1245636166 | Michaels Mission, LLC | Day Training, Developmentally Disabled Services | 4744 Bond St, Shawnee, KS 66203-1017 | 2014-11-05 |
| 1194983114 | Jenny Grace Cho | Surgery | 7420 Switzer, Shawnee, KS 66203-1239 | 2008-05-27 |
| 1154665586 | Lisa Michele Feiring | Speech-Language Pathologist | 9506 W 48th St, Merriam, KS 66203-1297 | 2012-11-26 |
| Find all providers in zip 66203 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962807123 | Xpress Wellness LLC | Family Medicine | 8 E Macarthur St, Shawnee, OK 74804-2135 | 2014-10-30 |
| 1639512395 | Marjon Monfared | Family Medicine | 6815 Hilltop Rd Ste 100, Shawnee, KS 66226 | 2013-04-12 |
| 1902146723 | Mashek Health Services, LLC | Family Medicine | 4521 Gracelann, Shawnee, OK 74804-2366 | 2013-02-15 |
| 1710244124 | Blake Jerald Williamson | Family Medicine | 14611 W 50th St, Shawnee, KS 66216-5116 | 2012-04-23 |
| 1821126566 | Jawaria Khalid | Family Medicine | 10824 Shawnee Mission Parkway, Shawnee, KS 66203-3512 | 2007-03-02 |
| 1740338359 | Terese A Bauer | Family Medicine | 10820 W 64th St Ste 202, Gianna Family Care, Shawnee, KS 66203-3571 | 2007-01-08 |
| 1174608319 | Mitchell A Wolf | Family Medicine | 3214 Kethley Rd, Shawnee, OK 74804-9625 | 2006-10-26 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1942317854 | Shawnee Mission Medical Center, Inc. | Family Medicine | 11245 Shawnee Mission Parkway, Shawnee, KS 66203-3333 | 2006-08-24 |
| 1598705626 | Mary Sue Kendrick | Family Medicine | 2801 Saratoga St, Shawnee, OK 74804-1739 | 2006-06-07 |
| Find all providers in SHAWNEE | ||||
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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.