Organization Active NPI

Johnson County Pediatrics, PA

  • Pediatrics Physician
  • Merriam, KS
National Provider Identifier
1346215282
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on May 31, 2012

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.