Individual provider Active NPI

Maureen M Smith-King, M.D.

  • Obstetrics & Gynecology Physician
  • Shawnee Mission, KS
National Provider Identifier
1700882677
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-26949 Issued in KS
Practice address
8901 W 74TH St
Ste 248
Shawnee Mission, KS 66204-2202
Phone
(913) 384-4990
Fax
(913) 384-1310
NPI assigned
Jun 24, 2005
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 04-26949 KS Primary

Addresses

Primary practice location

8901 W 74TH St
Ste 248
Shawnee Mission, KS 66204-2202

Mailing address

8901 W 74TH St
Ste 248
Shawnee Mission, KS 66204-2202
Phone (913) 384-4990

Other identifiers 1

IdentifierTypeStateIssuer
100288420BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120412000450 KS Practitioner - Obstetrics/Gynecology 1355495631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-26949KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid America Physician Services LLC Obstetrics & Gynecology CurrentSince Nov 1, 2013 Accepting new patients
Shawnee Mission Medical Center Inc Past Accepting new patients
Womens Care Obstetrics & Gynecology Past Accepting new patients

Locations

8801 Monrovia St
Ste 200
Lenexa, KS 66215

5525 W 119th St
Ste 200
Overland Park, KS 66209
Phone (913) 491-4020

8901 W 74th St
Ste 248
Shawnee Msn, KS 66204
Phone (913) 384-4990

9301 W 74th St
Ste 325
Shawnee Msn, KS 66204
Phone (913) 384-4990

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1700882677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "STE 248",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042202",
            "telephone_number": "913-384-4990",
            "fax_number": "913-384-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W 74TH ST",
            "address_2": "STE 248",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042202",
            "telephone_number": "913-384-4990",
            "fax_number": "913-384-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-KING",
        "first_name": "MAUREEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-26949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100288420B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

Verify at the official NPI Registry.