NPIMap

Individual provider Active NPI

Shaun B. Holden, M.D.

  • Family Medicine Physician
  • Harrisonville, MO
National Provider Identifier
1013933407
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD108198 Issued in MO
Practice address
2820 E. Rock Haven Rd.
Suite 100
Harrisonville, MO 64701-2082
Phone
(816) 380-3582
Fax
(816) 380-6964
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD108198 MO Primary

Addresses

Primary practice location

2820 E. Rock Haven Rd.
Suite 100
Harrisonville, MO 64701-2082

Mailing address

2820 E. Rock Haven Rd.
Suite 100
Harrisonville, MO 64701-2082
Phone (816) 380-3582

Other identifiers 3

IdentifierTypeStateIssuer
208109603MedicaidMO
22312013OtherMOBLUE CROSS BLUE SHIELD
5018116OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071121000307 MO Practitioner - Family Practice 7214025444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrisonville Family Medicine, Inc.Group PAC ID 2264489384, 9 clinicians

Practice addresses (Care Compare)

2820 E Rock Haven Rd
Suite 100
Harrisonville, MO 64701-4413
Phone (816) 380-3582

Hospital & facility affiliations

  • Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD108198MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Jul 1, 2006 Accepting new patients
Cass Regional Medical Center Current Accepting new patients
Harrisonville Family Medicine, Inc. Family Medicine CurrentSince Jun 27, 1996 Accepting new patients
Carondelet Physician Services, Inc. Family Medicine Past Accepting new patients

Locations

2820 E Rock Haven Rd
Ste 100
Harrisonville, MO 64701
Phone (816) 380-3582

1620 E Elm St
Harrisonville, MO 64701
Phone (816) 380-3582

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

Interoperability endpoints

  • Direct secure messaging: shaun.holden.1@14773.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14773/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1013933407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E. ROCK HAVEN RD.",
            "address_2": "SUITE 100",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012082",
            "telephone_number": "816-380-3582",
            "fax_number": "816-380-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E. ROCK HAVEN RD.",
            "address_2": "SUITE 100",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647012082",
            "telephone_number": "816-380-3582",
            "fax_number": "816-380-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "SHAUN",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD108198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208109603",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "22312013",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5018116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonville, MO

Sources for this page

Verify at the official NPI Registry.