Shawnee County (Medicaid Part C)

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

SHAWNEE COUNTY (MEDICAID PART C)

Practice address

2600 SW East Circle Dr S
Shawnee County (Medicaid Part C)
Topeka, KS 66606-2447

Phone

(785) 251-5600

Fax

(785) 251-5696

NPI assigned

Jul 31, 2006

Organization subpart

Yes

Parent organization

SHAWNEE COUNTYAs reported in NPPES

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

Authorized official

Name

Edith J Gaines, MAFM, MPA

Title

Finance Officer

Phone

(785) 251-5666

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Shawnee County Medicaid Part C2 organizations share this tax ID, including this one

Part of

Shawnee County Medicaid Part C

Other organizations with this tax ID 1

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

• Shawnee County

  • State or Local Public Health Clinic/Center
  • Topeka, KS
  • NPI 1346265147
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie M Jones, MD

  • Internal Medicine Physician
  • Topeka, KS
  • NPI 1982649224
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1528074499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SW EAST CIRCLE DR S",
            "address_2": "SHAWNEE COUNTY (MEDICAID PART C)",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062447",
            "telephone_number": "785-251-5600",
            "fax_number": "785-251-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW EAST CIRCLE DR S",
            "address_2": "SHAWNEE COUNTY (MEDICAID PART C)",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062447",
            "telephone_number": "785-251-5600",
            "fax_number": "785-251-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE COUNTY (MEDICAID PART C)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWNEE COUNTY",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "785-251-5666",
        "authorized_official_credential": "MAFM, MPA"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089380A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Michael Shaw, APRN
• Katrina Jean Shaw, COTA/L
• Marcus Shaw
• Tanner Steven Shaw, DO
• Shawnee County
• Shawnee Heights Usd 450
• Shawnee Regional Prevention and Recovery Services
• Doreen Kay Shea, M.A. CCC-SLP
• Shyanne Sheahan
• Patrick G Sheehy, M.D.

• State or Local Public Health Clinic/Center in Topeka, KS
• Providers in Topeka, KS by specialty
• State or Local Public Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.