Organization Active NPI

Mid-America Physicians, CHTD.

Doing business as DeSoto Family Practice

  • Family Medicine Physician
  • Shawnee, KS
National Provider Identifier
1477626547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MID-AMERICA PHYSICIANS, CHTD.
Doing business as
DeSoto Family Practice
Practice address
6815 Hilltop Rd
Ste. 100
Shawnee, KS 66226-3532
Phone
(913) 422-2020
Fax
(913) 441-6847
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Donald Rettinger, M.D.
Title
Ceo
Phone
(913) 422-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6815 Hilltop Rd
Ste. 100
Shawnee, KS 66226-3532

Mailing address

6815 Hilltop Rd
Ste. 100
Shawnee, KS 66226-3532
Phone (913) 422-2020

Other names 1

  • DeSoto Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

6815 Hilltop Rd
Ste 100
Shawnee, KS 66226
Phone (816) 468-8820

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477626547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 HILLTOP RD",
            "address_2": "STE. 100",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263532",
            "telephone_number": "913-422-2020",
            "fax_number": "913-441-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 HILLTOP RD",
            "address_2": "STE. 100",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263532",
            "telephone_number": "913-422-2020",
            "fax_number": "913-441-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA PHYSICIANS, CHTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RETTINGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-422-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeSoto Family Practice",
            "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 Aug 22, 2020; 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.