Active NPI
SM Corporate Care LLC
- Preventive Medicine/Occupational Environmental Medicine Physician
- Lenexa, KS
National Provider Identifier
1437202082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Preventive Medicine/Occupational Environmental Medicine Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Corporate Care
- 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.
-
- Physical Therapy Clinic/Center
- North Kansas City, MO
- NPI 1497095756
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.