Individual provider Active NPI

Kathryn E Cameron, D.O.

  • Family Medicine Physician
  • Merriam, KS
National Provider Identifier
1962594572
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-24334 Issued in KS
Practice address
7450 Kessler St
Ste 300
Merriam, KS 66204
Phone
(913) 632-2900
Fax
(913) 632-2999
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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
I20051029000308 KS Practitioner - Family Practice 0840237673 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-24334KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mission Medical Center Inc Family Medicine CurrentSince Apr 1, 2005 Accepting new patients
Shawnee Mission Medical Center Past Accepting new patients
Shawnee Mission Medical Center, Inc. Past Accepting new patients

Locations

7301 E Frontage Rd
Ste 100
Merriam, KS 66204
Phone (913) 384-4040

7301 E Frontage Rd
#100
Merriam, KS 66204
Phone (913) 384-4040

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

7450 Kessler St
Ste 300
Shawnee Msn, KS 66204
Phone (913) 632-2900

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-24334 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

7450 Kessler St
Ste 300
Merriam, KS 66204

Mailing address

7450 Kessler St
Ste 300
Merriam, KS 66204
Phone (913) 632-2900

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
21330076OtherKSBLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2019.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1962594572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST",
            "address_2": "STE 300",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-632-2900",
            "fax_number": "913-632-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST",
            "address_2": "STE 300",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "66204",
            "telephone_number": "913-632-2900",
            "fax_number": "913-632-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-24334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "21330076",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merriam, KS

Sources for this page

Verify at the official NPI Registry.