Annette M Grundmeier, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0418388 Issued in KS

Practice address

9119 W 74TH St
#210
Shawnee Mission, KS 66204-2236

Phone

(913) 432-3334

Fax

(913) 432-6043

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1376543983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "#210",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042236",
            "telephone_number": "913-432-3334",
            "fax_number": "913-432-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 W 74TH ST",
            "address_2": "#210",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042236",
            "telephone_number": "913-432-3334",
            "fax_number": "913-432-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDMEIER",
        "first_name": "ANNETTE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0418388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100130040B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Douglas Graham, MD
• Keith Grahl
• Anne Grater-Long, PA-C
• Andrew J Green, M.D.
• Clint Gregory
• Stacy D. Hackler, CRNA
• Brett R Hailey
• Sarah-Grace Miller Hamm, CRNA
• Samantha Hance
• Erin Haniger, OTR

• Pediatrics Physician in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.