Active NPI
Quickmd Medical Group of KS PA
- General Practice Physician
- Overland Park, KS
National Provider Identifier
1982331211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- QUICKMD MEDICAL GROUP OF KS PA
- Practice address
- 9393 W 110TH St Ste 500
Overland Park, KS 66210-1464 - Phone
- (888) 878-4256
- NPI assigned
- Aug 5, 2022
- Last updated
- Jan 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Merritt
- Title
- Senior Manager, Credentialing
- Phone
- (813) 596-5726
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | |||
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
9393 W 110TH St Ste 500
Overland Park, KS 66210-1464
Mailing address
3865 Holcomb Bridge Rd
Peachtree Corners, GA 30092-2205
Phone (888) 878-4256
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1396039822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705276800000",
"number": "1982331211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3865 HOLCOMB BRIDGE RD",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922205",
"telephone_number": "888-878-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9393 W 110TH ST STE 500",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101464",
"telephone_number": "888-878-4256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUICKMD MEDICAL GROUP OF KS PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-05",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A",
"authorized_official_last_name": "MERRITT",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "SENIOR MANAGER, CREDENTIALING",
"authorized_official_telephone_number": "813-596-5726"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
- Tina Marie Quarles, LSCSW
- Queen Enterprises L L C (Queen's Price Chopper Pharmacy #6)
- Queen-Morris Ventures L L C (Queen's Price Chopper #4)
- Quest Diagnostics Clinical Laboratories Inc
- Quick Financial LLC
- James C Quigley, M.D.
- Quikfinancial LLC
- Quinn Plastic Surgery Center PC
- Elizabeth Quinn, DDS
- John Michael Quinn, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.