Active NPI
Johnson County Pediatrics, PA
- Pediatrics Physician
- Merriam, KS
National Provider Identifier
1346215282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- JOHNSON COUNTY PEDIATRICS, PA
- Practice address
- 8800 W 75TH Street
Suite 220
Merriam, KS 66204 - Phone
- (913) 384-5500
- Fax
- (913) 384-5209
- NPI assigned
- Feb 22, 2006
- 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
- Dr. Mary M Tyson, MD
- Title
- Pediatrician/Partner
- Phone
- (913) 384-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
8800 W 75TH Street
Suite 220
Merriam, KS 66204
Mailing address
8800 W 75TH Street
Suite 220
Merriam, KS 66204
Phone (913) 384-5500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338422400000",
"number": "1346215282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8800 W 75TH STREET",
"address_2": "SUITE 220",
"city": "MERRIAM",
"state": "KS",
"postal_code": "66204",
"telephone_number": "913-384-5500",
"fax_number": "913-384-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8800 W 75TH STREET",
"address_2": "SUITE 220",
"city": "MERRIAM",
"state": "KS",
"postal_code": "66204",
"telephone_number": "913-384-5500",
"fax_number": "913-384-5209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON COUNTY PEDIATRICS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-22",
"last_updated": "2012-05-31",
"status": "A",
"authorized_official_last_name": "TYSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PEDIATRICIAN/PARTNER",
"authorized_official_telephone_number": "913-384-5500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.