Jayhawk Primary Care Inc
Organization Active NPI Urgent Care Clinic/Center · Shawnee, KS
NPI 1982652525 · NPPES record last updated Nov 29, 2012
Key facts
- NPI
- 1982652525
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- JAYHAWK PRIMARY CARE INC
- Practice address
- 7405 Renner Rd
Ku Medwest Urgent Care
Shawnee, KS 66217-9414 - Phone
- (913) 588-8450
- Fax
- (913) 588-8423
- NPI assigned
- May 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- JAYHAWK PRIMARY CARE INC
Authorized official
- Name
- Steven Brown
- Title
- Director of Billing
- Phone
- (913) 945-5603
Other NPIs on the same Medicare enrollment 11
Practitioners 20
-
Daniel Jacob Love, DNP, APRN, FNP
-
Pennie L Mesmer, ARNPC
-
Huda H. Alani, MD
-
Rita Boswell, PA
-
Paul J. Brown, MD
-
Anne L. Jones, MD
-
Deborah Lockwood, PA-C
-
Van T. Tran, DO
-
Robert W. Drogan, DO
-
Timothy C. Frey, DO
-
Harry Lounce, MD
-
Diane C Scheuer, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050721001078 | KS | Part B Supplier - Clinic/Group Practice | 8123928900 |
Receives reassigned benefits from 208 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Overland Park, KS; Westwood, KS; Shawnee, KS; Prairie Village, KS; Olathe, KS; Gardner, KS |
National Provider Directory
- Part of
- Jayhawk Primary Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
7405 Renner Rd
Ku Medwest Urgent Care
Shawnee, KS 66217-9414
Mailing address
2330 Shawnee Mission Pkwy
Medical Administrative Services of Ku Med. Ste. 312
Westwood, KS 66205-2005
Phone (913) 588-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25562039 | Other | BCBS GROUP NUMBER |
Other names
- KU MEDWEST URGENT CARE
Other providers in Shawnee, KS
- Jasbro Health Care Services Inc
- Sarah Jasim
- Zachary Alan Jaskinia
- Jayhawk Primary Care Inc
- Jayhawk Primary Care Inc
- Emily Nicole Jaynes
- Jenian, Inc.
- Jenkins Pediatric Dentistry
- Crystal D. Jenkins
- Jill C Jenkins
All providers in Shawnee, KS · Urgent Care Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.