PROVIDENCE MEDICAL CENTER, INC (NPI# 1801896915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801896915 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE MEDICAL CENTER, INC |
| Practice Address |
8929 Parallel Pkwy Kansas City KS 66112-1689 |
| Practice Telephone | 9135964000 |
| Mailing Telephone | 9135964000 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL DORSEY (INTERIM CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9135964882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H105003 | KS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS OF KANSAS | 000729 | 01 |
| KS | FIRST GUARD | 323130 | 01 |
| KS | AETNA | 71980 | 01 |
| KS | BLUE CROSS OF KANSAS CITY | 90051016 | 01 |
| Street Address |
8929 PARALLEL PKWY |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66112-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981451 | William Henry Brooks | Radiology | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2005-06-10 |
| 1356964076 | Manraj Chahal | Student in an Organized Health Care Education/Training Program | 8929 Parallel Pkwy, Kansas City, KS 66112-3607 | 2020-05-28 |
| 1124663646 | Psychiatric Care Professionals P.a | Psychiatry & Neurology | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2019-11-07 |
| 1568957249 | Stephanie Murphy | Nurse Practitioner | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2018-06-26 |
| 1831680842 | Deanna Marie Bafus | Clinical Nurse Specialist | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2018-05-24 |
| 1679079487 | App of Kansas Ed, Pllc | Emergency Medicine | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2018-04-02 |
| 1245747005 | Carla Shepard | Nurse Practitioner | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2018-01-02 |
| 1891226031 | Paul Anthony Middleton | Family Medicine | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2017-03-21 |
| 1124568498 | Andrew P Crow | Emergency Medicine | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2017-03-06 |
| 1639624364 | Prime Healthcare Services-providence, LLC | Skilled Nursing Facility | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2016-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740610328 | Diana Alejandra Williams | Social Worker | 7940 Parallel Parkway Ste 2, Kansas City, KS 66112 | 2013-11-19 |
| 1316375835 | Angela Candelario | Social Worker | 7840 Washington Avenue, Kansas City, KS 66112 | 2013-10-18 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1457655623 | Alvin Edward Johnson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9003 Barnett Ave., Kansas City, KS 66112 | 2011-01-03 |
| 1437383437 | Kurtis Clifton Springstead | Physical Therapist | 7925 State Ave Ste 104, Kansas City, KS 66112 | 2009-05-06 |
| 1215133293 | Linda L Clarkson | Physical Therapy Assistant | Kansas City Presbyterian Manor, 78th and Freeman, Kansas City, KS 66112 | 2007-06-26 |
| 1104033364 | Eric D. Hyde | Physical Therapist | 8929 Parallel Parway, Providence Medical Center-rehabilitation Department, Kansas City, KS 66112 | 2007-05-17 |
| 1578781498 | Kristi Lyn Weaver Rowe | Obstetrics & Gynecology | 8919 Parallel, Ste 580, Women's Clinic Associates, Kansas City, KS 66112 | 2007-04-23 |
| 1346464708 | Souvenir Culanculan Rivera | Nurse Practitioner | Providence Medical Center, 8929 Parallel Parkway, Kansas City, KS 66112 | 2007-04-13 |
| 1205961919 | Mcbratney Optical Boutique | Technician/Technologist | 7702 Parallel Parkway, Kansas City, KS 66112 | 2007-02-22 |
| Find all providers in zip 66112 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1639624141 | Matthew Tyler Howard | General Acute Care Hospital | 2032 Sudler, Ku Med Center, Kansas City, KS 66160-0001 | 2016-08-25 |
| 1710202437 | University of Kansas Medical Center | General Acute Care Hospital | 3900 Rainbow Blvd, Kansas City, KS 66103-2918 | 2010-04-06 |
| 1649259656 | University of Kansas Hospital Authority | General Acute Care Hospital | 4000 Cambridge Street, Kansas City, KS 66160-8501 | 2006-01-10 |
| 1932642972 | St. Luke's Hospital of Kansas City | General Acute Care Hospital | 10918 Elm Ave, Kansas City, MO 64134-4108 | 2016-11-23 |
| 1942654298 | Veterans Administration | General Acute Care Hospital | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | 2016-04-22 |
| 1528463080 | Prime Healthcare Services Kansas City, LLC | General Acute Care Hospital | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2014-10-27 |
| 1558776385 | University of Kansas Physician | General Acute Care Hospital | 3901 Rainbow Blvd, 1440 Ku Hospital, Mail Stop 1034, Kansas City, KS 66160-7415 | 2014-07-01 |
| 1457794299 | Daniel Ross Bachman | General Acute Care Hospital | 2301 Holmes St, Dept of Orthopedics, Kansas City, MO 64108-2640 | 2013-04-11 |
| 1578906673 | Kansas University Physicians, Inc. | General Acute Care Hospital | 3901 Rainbow Blvd, 4070 Delp, Mail Stop 4017, Kansas City, KS 66160-8500 | 2013-04-09 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66112 |
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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.