Active NPI
Populus Physician Services, L.L.C.
- Family Medicine Physician
- Olathe, KS
National Provider Identifier
1043736168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- POPULUS PHYSICIAN SERVICES, L.L.C.
- Practice address
- 15710 W 135TH St FL 2
Olathe, KS 66062-1511 - Phone
- (913) 708-1169
- NPI assigned
- Aug 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamie Roy Stevens, MBA, MSHS
- Title
- Administrator
- Phone
- (913) 708-1169
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
15710 W 135TH St FL 2
Olathe, KS 66062-1511
Mailing address
PO Box 8686
Prairie Village, KS 66208-0686
Phone (913) 708-1169
National Provider Directory
National Provider DirectoryLocations
15710 W 135th St
Fl 2
Olathe, KS 66062
Phone (913) 708-1169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503273600000",
"number": "1043736168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8686",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662080686",
"telephone_number": "913-708-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15710 W 135TH ST FL 2",
"city": "OLATHE",
"state": "KS",
"postal_code": "660621511",
"telephone_number": "913-708-1169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POPULUS PHYSICIAN SERVICES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-21",
"last_updated": "2017-08-21",
"status": "A",
"authorized_official_last_name": "STEVENS",
"authorized_official_first_name": "JAMIE",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "913-708-1169",
"authorized_official_credential": "MBA, MSHS"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.