BRENDA SHOUP (NPI# 1043266620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043266620 |
| Entity Type | Individual |
| Full Name | BRENDA SHOUP |
| Credential | MD |
| Practice Address |
9301 W 74th St Ste 130 Shawnee Mission KS 66204-2207 |
| Practice Telephone | 9136329130 |
| Practice Fax Number | 9136329149 |
| Mailing Telephone | 9136329130 |
| Mailing Fax Number | 9136329149 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2017-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
431352 | KS | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
2005007820 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200459402 | 05 | |
| AETNA | 7727356 | 01 | |
| RAILROAD MEDICARE | P00274849 | 01 | |
| BCBS OF KC | 35478013 | 01 | |
| HEALTHCARE USA | 77780 | 01 | |
| UHC | 2231144 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129261 | Brenda Shoup | Physical Therapist | 70 S Cleveland Ave, Westerville, OH 43081-1329 | 2006-01-18 |
| Street Address |
9301 W 74TH ST STE 130 |
| City | SHAWNEE MISSION |
| State | KS |
| Zip Code | 66204-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154758175 | Roberta Lee Anson | Nurse Practitioner | 9301 W 74th St Ste 130, Shawnee Mission, KS 66204-2207 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652405 | Avenue 81 Iaop | Assisted Living Facility | 8055 Metcalf Ave, Overland Park, KS 66204 | 2020-09-04 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1427577469 | Linda Kay Mufich-knopp | Physical Therapist | Femme Focus, L.L.C. In The Home Family Holistic Center, 7927 Floyd Street, Suite 5, Overland Park, KS 66204 | 2017-09-11 |
| 1700304789 | Kalli Dee Karmann | Occupational Therapy Assistant | 6814 W 72nd St, Overland Park, KS 66204 | 2017-08-30 |
| 1164951786 | Daniel Collins | Physical Therapist | 10000 W. 75th St. Ste. 250, Merriam, KS 66204 | 2017-06-07 |
| 1942686530 | Anna Katheryn Grantham | Speech-Language Pathologist | 10000 W. 75th St., Suite 250, Merriam, KS 66204 | 2015-08-05 |
| 1700262680 | Maple Hills Healthcare, Inc. | Skilled Nursing Facility | 7600 Antioch Rd, Overland Park, KS 66204 | 2015-08-03 |
| 1104211085 | John Brainard | Pediatrics | 8901 W 74th St Ste 10, Shawnee Mission, KS 66204 | 2015-03-30 |
| 1477941318 | Shelley Watts | Occupational Therapy Assistant | 6712 W 72nd Street, Overland Park, KS 66204 | 2014-12-30 |
| 1578963369 | James Aaron Mitchum | Counselor | 7923 Santa Fe Dr, Overland Park, KS 66204 | 2014-08-28 |
| Find all providers in zip 66204 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043266091 | Michelle R Dudzinski | Obstetrics & Gynecology | 9301 W 74th St, Suite 130, Shawnee Mission, KS 66204-2207 | 2006-05-25 |
| 1144275132 | Lowell Byers | Obstetrics & Gynecology | 9301 W 74th St, Suite 130, Shawnee Mission, KS 66204-2207 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477532240 | Dineo Khabele | Obstetrics & Gynecology | 3901 Rainbow Blvd., Ms 2028, University of Kansas Medical Center - Dept of Ob/gyn, Kansas City, KS 66160 | 2006-01-11 |
| 1306338017 | Lindsay Bowers Hasselwander | Obstetrics & Gynecology | 2650 Shawnee Mission Pkwy, Westwood, KS 66205-2003 | 2018-05-30 |
| 1922284108 | Associates In Womens Health Pa | Obstetrics & Gynecology | 3232 E Murdock, Wichita, KS 67208-3003 | 2008-01-17 |
| 1295837904 | Jacqueline Michelle Morgan | Obstetrics & Gynecology | 3232 E Murdock St, Wichita, KS 67208-3003 | 2006-09-02 |
| 1477579548 | Julia A Chapman | Obstetrics & Gynecology | 3901 Rainbow Blvd, Department of Ob/gyn, Kansas City, KS 66160-0001 | 2006-07-14 |
| City | SHAWNEE MISSION |
| Zip Code | 66204 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.