Organization Active NPI

Comprehensive Women's Care, Inc.

Doing business as Women's & Family Care

  • Family Nurse Practitioner
  • Shawnee, KS
National Provider Identifier
1790852135
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
45920 Issued in KS
Legal business name
COMPREHENSIVE WOMEN'S CARE, INC.
Doing business as
Women's & Family Care
Practice address
21624 Midland Dr
Shawnee, KS 66218-9064
Phone
(913) 643-0075
Fax
(913) 643-0077
NPI assigned
Nov 29, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gordon Clark, MDNPI 1417937145
Title
President
Phone
(913) 643-0075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 04-23518 KS
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 45920 KS Primary

Addresses

Primary practice location

21624 Midland Dr
Shawnee, KS 66218-9064

Mailing address

21624 Midland Dr
Shawnee, KS 66218-9064
Phone (913) 643-0075

Other names 1

  • Women's & Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006000459 KS Part B Supplier - Clinic/Group Practice 9436174711 Receives reassigned benefits from 1 practitioner
Practice locations: Shawnee, KS

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Women's Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1305 Wakarusa Dr
Lawrence, KS 66049
Phone (785) 331-9399

Practitioners & affiliated clinicians

Practitioners 1

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1790852135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21624 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189064",
            "telephone_number": "913-643-0075",
            "fax_number": "913-643-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21624 MIDLAND DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662189064",
            "telephone_number": "913-643-0075",
            "fax_number": "913-643-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE WOMEN'S CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-11",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-643-0075",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-23518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's & Family Care",
            "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.