SHAWNEE MISSION PEDIATRICS, P.A. (NPI# 1801988688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801988688 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MISSION PEDIATRICS, P.A. |
| Practice Address |
8901 W 74th St Suite 10 Overland Park KS 66204-2204 |
| Practice Telephone | 9133621660 |
| Practice Fax Number | 9133625916 |
| Mailing Telephone | 9133621660 |
| Mailing Fax Number | 9133625916 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT VINCENT JACKSON (PRESIDENT) |
| Authorized Official Telephone | 9133621660 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
8901 W 74TH ST SUITE 10 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66204-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790853968 | Pulmonary Medicine Assoc P C | Internal Medicine | 8901 W 74th St, #348, Overland Park, KS 66204-2204 | 2006-12-04 |
| 1720170673 | Robert Arnold Maxwell | Pediatrics | 8901 W 74th St, Suite 10, Overland Park, KS 66204-2204 | 2006-09-29 |
| 1073605929 | Kathryn Ann Hartman | Pediatrics | 8901 W 74th St, Overland Park, KS 66204-2204 | 2006-09-29 |
| 1033201983 | Robert Vincent Jackson | Pediatrics | 8901 W 74th St, Suite 10, Overland Park, KS 66204-2204 | 2006-09-29 |
| 1316043409 | Sandra L. Anderson | Clinical Nurse Specialist | 8901 W 74th St, Suite 269, Overland Park, KS 66204-2204 | 2006-09-15 |
| 1336241215 | Jason A Fieser | Internal Medicine | 8901 W 74th St, Suite 348, Overland Park, KS 66204-2204 | 2006-09-02 |
| 1760598197 | Joseph E Henry | Internal Medicine | 8901 W 74th St, Suite 348, Overland Park, KS 66204-2204 | 2006-08-21 |
| 1881700227 | Larry D Botts | Internal Medicine | 8901 W 74th St, Suite #348, Overland Park, KS 66204-2204 | 2006-08-21 |
| 1689630154 | Molly J Lewandowski | Internal Medicine | 8901 W 74th St, Suite 350, Overland Park, KS 66204-2204 | 2006-04-25 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245694181 | Alicia Christina Wolfe | Pediatrics | 12541 Foster St Ste 260, Overland Park, KS 66213-2301 | 2016-04-06 |
| 1467863498 | Allison Marie Hadley | Pediatrics | 8675 College Blvd Ste 100, Overland Park, KS 66210-1863 | 2014-05-13 |
| 1134473192 | James Joseph O'bryan | Pediatrics | 10815 W 104th St, Overland Park, KS 66214-3052 | 2012-10-30 |
| 1013278506 | Fred Fletcher Roberts | Pediatrics | 5610 W 131st Ter, Overland Park, KS 66209-2925 | 2012-05-31 |
| 1235413030 | Isaac J Kennedy | Pediatrics | 10500 Quivira Road, Pediatric Emergency Medicine, Overland Park, KS 66215 | 2011-09-28 |
| 1942339106 | Elizabeth Sorrells Peterson | Pediatrics | 7311 W 132nd St, Suite 190, Overland Park, KS 66213-1118 | 2007-03-05 |
| 1346259033 | Lauren Olson | Pediatrics | 5805 W 110th St, Overland Park, KS 66211 | 2006-08-05 |
| 1396771838 | Pediatric Care Specialists, Pa | Pediatrics | 12541 Foster, Suite 260, Overland Park, KS 66213-1324 | 2006-06-25 |
| 1194782854 | Lara Sullivan | Pediatrics | 14300 Metcalf Ave, Ste. 122, Overland Park, KS 66223-2987 | 2006-04-27 |
| 1194781187 | Marsha Dannenberg | Pediatrics | 6750 W 135th St, Overland Park, KS 66223-4802 | 2006-04-26 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66204 |
Please comment or provide details below to improve the information on SHAWNEE MISSION PEDIATRICS, P.A..
| 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.