NPIMap

Organization Active NPI

Shawnee Mission Medical Center, Inc.

  • Non-Pharmacy Dispensing Site
  • Shawnee, KS
National Provider Identifier
1356861439
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
SHAWNEE MISSION MEDICAL CENTER, INC.
Practice address
11245 Shawnee Mission Parkway
Shawnee, KS 66203-3333
Phone
(913) 268-4455
Fax
(913) 268-4493
NPI assigned
Jun 21, 2017
Organization subpart
Yes
Parent organization
SHAWNEE MISSION MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Karsten Randolph
Title
Cfo & Evp
Phone
(913) 676-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

11245 Shawnee Mission Parkway
Shawnee, KS 66203-3333

Mailing address

7315 E Frontage Rd Ste 101
Merriam, KS 66204-1658
Phone (913) 789-3938

Other names 1

  • SM Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mid America Physicians14 organizations share this tax ID, including this one
Part of
Mid America Physicians

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1356861439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 E FRONTAGE RD STE 101",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041658",
            "telephone_number": "913-789-3938",
            "fax_number": "913-789-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11245 SHAWNEE MISSION PARKWAY",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033333",
            "telephone_number": "913-268-4455",
            "fax_number": "913-268-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE MISSION MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWNEE MISSION MEDICAL CENTER, INC.",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "KARSTEN",
        "authorized_official_title_or_position": "CFO & EVP",
        "authorized_official_telephone_number": "913-676-2152"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SM Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SM Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.