Organization Active NPI

Pediatric Professional Association

  • Exclusive Provider Organization
  • Overland Park, KS
National Provider Identifier
1942247283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PEDIATRIC PROFESSIONAL ASSOCIATION
Practice address
10600 Quivira Rd
Ste 210
Overland Park, KS 66215-2309
Phone
(913) 541-3300
NPI assigned
Jun 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Aubrey Virginia Hooley, MSM
Title
Compliance
Phone
(913) 541-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

10600 Quivira Rd
Ste 210
Overland Park, KS 66215-2309

Mailing address

10600 Quivira Rd
Ste 210
Overland Park, KS 66215-2309

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0449675Pediatric Professional Association10600 Quivira Road Suite 210, Overland Park, KS 66215Certificate of waiverMay 31, 2028

National Provider Directory

National Provider Directory

Locations

10600 Quivira Rd
Ste 210
Overland Park, KS 66215
Phone (913) 541-3300

Practitioners & affiliated clinicians

Practitioners 10

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942247283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA RD",
            "address_2": "STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 QUIVIRA RD",
            "address_2": "STE 210",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152309",
            "telephone_number": "913-541-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOLEY",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "913-541-3300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.