NPIMap

Organization Active NPI

Premise Health of West Virginia Medical, Medical Corporation

Doing business as Sprint On Site Health Center Overland Park

  • Primary Care Clinic/Center
  • Overland Park, KS
National Provider Identifier
1306089560
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION
Doing business as
Sprint On Site Health Center Overland Park
Practice address
6400 Sprint Pkwy
Mailstop Ksophg0202
Overland Park, KS 66251-6107
Phone
(913) 315-6432
Fax
(913) 461-2574
NPI assigned
Apr 16, 2009
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Jon Leizman, M.D.
Title
President
Phone
(216) 479-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

6400 Sprint Pkwy
Mailstop Ksophg0202
Overland Park, KS 66251-6107

Mailing address

5500 Maryland Way
Brentwood, TN 37027-4948
Phone (913) 315-6432

Other names 1

  • Sprint On Site Health Center Overland Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premise Health of West Virginia Medical Medical Corporation27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

6400 Sprint Pkwy
#202
Overland Park, KS 66251
Phone (913) 315-6432

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1306089560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274948",
            "telephone_number": "913-315-6432",
            "fax_number": "913-461-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SPRINT PKWY",
            "address_2": "MAILSTOP KSOPHG0202",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662516107",
            "telephone_number": "913-315-6432",
            "fax_number": "913-461-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF WEST VIRGINIA MEDICAL, MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "LEIZMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-479-9063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprint On Site Health Center Overland Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sprint On Site Health Center Overland Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.