Organization Active NPI

SM Corporate Care LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Lenexa, KS
National Provider Identifier
1437202082
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
SM CORPORATE CARE LLC
Practice address
9040 Quivira Rd
Lenexa, KS 66215-3902
Phone
(913) 492-9675
Fax
(913) 438-8726
NPI assigned
Jan 18, 2007
Organization subpart
Yes
Parent organization
SHAWNEE MISSION MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Karsten G Randolph
Title
Exec VP & Cfo
Phone
(913) 676-2152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X Primary

Addresses

Primary practice location

9040 Quivira Rd
Lenexa, KS 66215-3902

Mailing address

7315 E. Frontage Rd
Suite 202
Shawnee Mission, KS 66204-1658
Phone (913) 676-2489

Other names 1

  • Corporate Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corporate Care2 organizations share this tax ID, including this one
Part of
Mid America Physicians

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1437202082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 E. FRONTAGE RD",
            "address_2": "SUITE 202",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662041658",
            "telephone_number": "913-676-2489",
            "fax_number": "913-676-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 QUIVIRA RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153902",
            "telephone_number": "913-492-9675",
            "fax_number": "913-438-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM CORPORATE CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWNEE MISSION MEDICAL CENTER INC",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "KARSTEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXEC VP & CFO",
        "authorized_official_telephone_number": "913-676-2152"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.