Premier Pediatrics, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

04-27906 Issued in KS

Legal business name

PREMIER PEDIATRICS, PA

Practice address

8675 College Blvd
Suite 100
Overland Park, KS 66210-1946

Phone

(913) 261-3153

Fax

(913) 262-3295

NPI assigned

Feb 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Winburn, M.D.

Title

Partner

Phone

(913) 261-3153

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1902128259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOXRIDGE DR",
            "address_2": "SUITE 240",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022347",
            "telephone_number": "913-261-3153",
            "fax_number": "913-262-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8675 COLLEGE BLVD",
            "address_2": "SUITE 100",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101946",
            "telephone_number": "913-261-3153",
            "fax_number": "913-262-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "WINBURN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "913-261-3153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-27906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.