Organization Active NPI

Nephrology Physicians, P.a.

  • Nephrology Physician
  • Shawnee Mission, KS
National Provider Identifier
1558771964
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY PHYSICIANS, P.A.
Practice address
8901 W 74TH St
Suite 120
Shawnee Mission, KS 66204-2204
Phone
(913) 831-2430
Fax
(913) 831-0108
NPI assigned
May 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Ms. Tammi A. Ball
Title
Practice Administrator
Phone
(913) 831-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

8901 W 74TH St
Suite 120
Shawnee Mission, KS 66204-2204

Mailing address

8901 W 74TH St
Suite 120
Shawnee Mission, KS 66204-2204
Phone (913) 831-2430

Other identifiers 1

IdentifierTypeStateIssuer
100193330AMedicaidKS

National Provider Directory

National Provider Directory

Locations

8901 W 74th St
Ste 120
Shawnee Msn, KS 66204
Phone (913) 432-5052

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1558771964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "SUITE 120",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042204",
            "telephone_number": "913-831-2430",
            "fax_number": "913-831-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "SUITE 120",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042204",
            "telephone_number": "913-831-2430",
            "fax_number": "913-831-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "TAMMI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "913-831-2430",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100193330A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.