Premise Health of Kansas Medical PA

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMISE HEALTH OF KANSAS MEDICAL PA

Doing business as

Health Services - Premise Health Clinic

Practice address

14115 Russ Meyer Blvd
Independence, KS 67301-9000

Phone

(620) 332-0110

Fax

(620) 332-0116

NPI assigned

Jul 3, 2025

Organization subpart

No

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

Authorized official

Name

Edward William Schwartz

Title

President

Phone

(844) 407-7557

Specialties & licenses 1

Addresses

Other names 1

• Health Services - Premise Health Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Health Services - Premise Health Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Premise Health of Kansas Medical PA

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1558103416
  NPD tax ID
• Premise Health of Kansas Medical PA

  • Multi-Specialty Clinic/Center
  • Overland Park, KS
  • NPI 1598487233
  NPD tax ID

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1093605966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14115 RUSS MEYER BLVD",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673019000",
            "telephone_number": "620-332-0110",
            "fax_number": "620-332-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF KANSAS MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Services - Premise Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ciera M Perry, PTA
• Deepa Perumal, MD
• Sophie Grace Peters
• Kimberly Pinkerton, CRNA
• Cabrini Marie Plummer, RPH
• Proscript Family Pharmacy
• Jamie Dawn Rathjen, CPTA
• Renee Leigh Readinger, R.PH.
• Angela D Reed, RN
• Cyndie Reetz

• Multi-Specialty Clinic/Center in Independence, KS
• Providers in Independence, KS by specialty
• Multi-Specialty Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.