Shawnee Family Care PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0423330 Issued in KS

Legal business name

SHAWNEE FAMILY CARE PA

Practice address

5949 Nieman Rd
Shawnee, KS 66203-2907

Phone

(913) 631-6114

Fax

(913) 631-5263

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Martha A Ward, CPC

Title

Office Manager

Phone

(913) 631-6114

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John L Crane, MD

  • Family Medicine Physician
  • Shawnee, KS
  • NPI 1417997396
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174667174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032907",
            "telephone_number": "913-631-6114",
            "fax_number": "913-631-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 NIEMAN RD",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662032907",
            "telephone_number": "913-631-6114",
            "fax_number": "913-631-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE FAMILY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-631-6114",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "0423330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "CB6830",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN  MARY K DEVERS",
            "identifier": "H24932",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP",
            "identifier": "27992017",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN L CRANE UPIN",
            "identifier": "E66004",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Shannon, MA CCC-S
• Pauline Shaver
• Shawnee Chiropractic Clinic, P.a.
• Shawnee Dental
• Shawnee Dental Group, PA (Shawnee Modern Dentistry)
• Shawnee Family Care, PA
• Shawnee Gardens Healthcare and Rehabilitation Center, LLC (Shawnee Gardens Healthcare and Rehabilitation Center)
• Shawnee Health & Rehab LLC (The Cottages at Shawnee)
• Shawnee Mission Medical Center Inc
• Shawnee Mission Medical Center, Inc. (SM Urgent Care)

• Primary Care Clinic/Center in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Primary Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.