SHAWNEE MISSION MEDICAL CENTER INC (NPI# 1720142565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720142565 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Other Organization Name | ADVENTHEALTH SHAWNEE MISSION IP PSYCH |
| 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 | 2006-12-19 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | KARSTEN G RANDOLPH (EXECUTIVE VP & CFO) |
| Authorized Official Telephone | 9136762152 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHAWNEE MISSION MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | H046004 | KS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FH HEALTH CARE SYSTEM | 100017 | 01 |
| Other Name | Type Code |
|---|---|
| AdventHealth Shawnee Mission IP Psych | Other Name - Individual/Organization |
| Psychiatric Unit | 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 |
| 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 |
| 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 |
| 1235792003 | Shawnee Mission Medical Center Inc | Clinical Medical Laboratory | 9100 W 74th St, Merriam, KS 66204-4004 | 2019-04-17 |
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| 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 | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373556 | Khan Noohani Md Pa | Psychiatric Unit | 1323 North A Street, Sumner Regional Medical Center, Wellington, KS 67152 | 2014-03-13 |
| 1326147547 | Great Plains of Kiowa County, Inc. | Psychiatric Unit | 501 S Walnut St, Greensburg, KS 67054-1951 | 2006-09-22 |
| 1336148485 | Ascension Via Christi Hospital Manhattan, Inc. | Psychiatric Unit | 222 N 6th St, Manhattan, KS 66502-6057 | 2005-07-20 |
| 1700429917 | South Central Kansas Regional Medical Center | Psychiatric Unit | 6401 Patterson Pkwy, Arkansas City, KS 67005-5701 | 2019-10-21 |
| 1962971903 | Sumner Community Hospital LLC | Psychiatric Unit | 1323 N A St, Wellington, KS 67152-4350 | 2018-11-20 |
| 1316334667 | Harper Hospital | Psychiatric Unit | 700 W 13th St, Harper, KS 67058-1401 | 2015-04-23 |
| 1598108680 | Prime Healthcare Services - Saint John Leavenworth LLC | Psychiatric Unit | 3500 S 4th St, Leavenworth, KS 66048-5043 | 2013-04-09 |
| 1982993614 | Hays Medical Center, Inc. | Psychiatric Unit | 205 E 7th St, Suite 308, Hays, KS 67601-4907 | 2011-04-04 |
| 1245475946 | Hospital District No 1 Crawford County | Psychiatric Unit | 302 N Hospital Dr, Girard, KS 66743-2000 | 2008-12-09 |
| 1497955066 | Via Christi Regional Medical Center | Psychiatric Unit | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2007-07-23 |
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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.