SHAWNEE MISSION MEDICAL CENTER (NPI# 1598970790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598970790 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MISSION MEDICAL CENTER |
| Other Organization Name | SMMC EMERGENCY PHYSICIANS |
| Practice Address |
9100 W 74th St Shawnee Mission KS 66204-4004 |
| Mailing Address |
15980 Collection Center Dr Chicago IL 60693-0159 |
| Practice Telephone | 9136762214 |
| Practice Fax Number | 9137893106 |
| Mailing Telephone | 9132341350 |
| Mailing Fax Number | 9132341108 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-02-12 |
| Authorized Official Name | SAMUEL TURNER (CEO) |
| Authorized Official Telephone | 9132341350 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHAWNEE MISSION MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100007000A | 05 | |
| MO | 507414308 | 05 |
| Other Name | Type Code |
|---|---|
| SMMC EMERGENCY PHYSICIANS | Doing Business As Name - Organization |
| Street Address |
9100 W 74TH ST |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641702 | Gregory Jan Strohs | Pharmacist | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2005-06-30 |
| 1235767229 | Sarah-grace Miller Hamm | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-27 |
| 1174159362 | Lindsey Ann Bagby | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-19 |
| 1285260570 | Kathleen Ann Henderson | Clinical Nurse Specialist | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-03-18 |
| 1295368140 | Alex M Whitehill | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-02-19 |
| 1467085993 | Rogelio Alfonso Morin | Specialist/Technologist, Other | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-02-12 |
| 1891326641 | Christopher J White | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2020-01-30 |
| 1750947271 | Patrick J Patterson | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-05-10 |
| 1164985461 | Ashley M Kane | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-04-12 |
| 1174085765 | Rachel M Meredith | Registered Nurse | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2019-04-02 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841224946 | Timothy J Chilcote | Emergency Medicine | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306301429 | Rikkie Renee Thouvenell | Emergency Medicine | 906 S Lincoln Ave, Chanute, KS 66720-3041 | 2019-02-02 |
| 1124594957 | Susan B. Allen Memorial Hospital | Emergency Medicine | 700 W Central Ave Ste 103, El Dorado, KS 67042-2187 | 2018-10-19 |
| 1609185958 | Barbara K Lomeli | Emergency Medicine | 14500 S Quivira Rd, Olathe, KS 66062-9479 | 2010-10-05 |
| 1124086384 | Daniel W Doherty | Emergency Medicine | 315 W 15th Street, Liberal, KS 67905-1340 | 2006-05-03 |
| 1104815265 | Phillips County | Emergency Medicine | 409 E St, Box 309, Phillipsburg, KS 67661-1656 | 2005-10-20 |
| 1912530890 | Edward King | Emergency Medicine | 1428 S Main St Ste 4, Ottawa, KS 66067-3547 | 2020-02-19 |
| 1851867709 | Johnny Huy Nguyen | Emergency Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-10-18 |
| 1912362682 | Newman Medical Partners LLC | Emergency Medicine | 2720 W 15th Ave, Emporia, KS 66801 | 2015-12-23 |
| 1730494048 | Kansas Physicians Group, LLC | Emergency Medicine | 2610 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-08-11 |
| 1700106168 | Joshua David Korosac | Emergency Medicine | 325 Maine St, Lawrence, KS 66044-1360 | 2010-06-08 |
| Find all providers with the same taxonomy | ||||
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
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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.