NPIMap

Organization Active NPI

Shawnee Mission Medical Center, Inc.

Doing business as SM Corporate Care

  • Non-Pharmacy Dispensing Site
  • Lee's Summit, MO
National Provider Identifier
1619407665
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
SHAWNEE MISSION MEDICAL CENTER, INC.
Doing business as
SM Corporate Care
Practice address
805 NE Rice Rd
Lees Summit, MO 64086-5540
Phone
(816) 554-1518
Fax
(816) 554-8710
NPI assigned
Jun 13, 2017
Last updated
Jun 13, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SHAWNEE MISSION MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Authorized official

Name
Karsten Randolph
Title
Cfo & Evp
Phone
(913) 676-2152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

805 NE Rice Rd
Lees Summit, MO 64086-5540

Mailing address

7315 E Frontage Rd Ste 101
Merriam, KS 66204-1658
Phone (913) 789-3938

Other names 1

  • SM Corporate Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SMMC19 organizations share this tax ID, including this one
Part of
SMMC

Other organizations with this tax ID 18

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

View all 18

Locations

805 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 554-1518

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": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1619407665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 E FRONTAGE RD STE 101",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041658",
            "telephone_number": "913-789-3938",
            "fax_number": "913-789-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 NE RICE RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865540",
            "telephone_number": "816-554-1518",
            "fax_number": "816-554-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE MISSION MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAWNEE MISSION MEDICAL CENTER, INC.",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "KARSTEN",
        "authorized_official_title_or_position": "CFO & EVP",
        "authorized_official_telephone_number": "913-676-2152"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SM Corporate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.