Brenda L Shoup (NPI# 1043266620, PAC ID# 9234162348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GYNECOLOGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1043266620 |
| PAC ID by PECOS | 9234162348 |
| Professional Enrollment ID | I20110720000462 |
| Full Name | Brenda L Shoup |
| Organization Legal Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Address |
9301 W 74th St Merriam KS 66204-2207 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | GYNECOLOGICAL ONCOLOGY |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9537119037 |
| Number of Group Practice Members | 136 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| 260216 | SAINT LUKE'S EAST HOSPITAL |
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| 260138 | ST LUKES HOSPITAL OF KANSAS CITY |
| Address | Phone | Organization |
|---|---|---|
| 9100 W 74th St, Merriam, KS 66204-4004 | SHAWNEE MISSION MEDICAL CENTER INC | |
| 9301 W 74th St, Merriam, KS 66204-2207 | SHAWNEE MISSION MEDICAL CENTER INC | |
| 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 | 9136329100 | SHAWNEE MISSION MEDICAL CENTER INC |
| Organization Legal Name | SHAWNEE MISSION MEDICAL CENTER INC |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Bliss Ryan Milholland | Neurology | Shawnee Mission Medical Center Inc | 9100 W 74th St, Ahmg Cardiology At Shawnee Mission, Merriam, KS 66204-4004 |
| Jee Hyon Park | Internal Medicine | Shawnee Mission Medical Center Inc | 8960 Commerce Dr, Suite 4e, De Soto, KS 66018-8431 |
| Whitney B Breen | Nurse Practitioner | Shawnee Mission Medical Center Inc | 7501 Mission Rd, Suite 103, Prairie Village, KS 66208-4217 |
| Dennis M Jensen | Family Medicine | Shawnee Mission Medical Center Inc | 23351 Prairie Star Pkwy, Suite A245, Lenexa, KS 66227-7301 |
| Joan L Smith | Nurse Practitioner | Shawnee Mission Medical Center Inc | 7840 W 165th St, 210 Ahmg Internal Medicine and Pediatrics, Overland Park, KS 66223-2993 |
| Jacqueline N Switzer | Nurse Practitioner | Shawnee Mission Medical Center Inc | 8700 Bourgade St, Suite 2, Lenexa, KS 66219-1440 |
| Theresa M Turk | Nurse Practitioner | Shawnee Mission Medical Center Inc | 6815 Hilltop Rd, Suite 100, Shawnee, KS 66226-3551 |
| Charlie J Matteson | Family Practice | Shawnee Mission Medical Center Inc | 9040 Quivira Rd, Lenexa, KS 66215-3902 |
| Kimberly A Cochran | Neurology | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Van T Tran | Family Medicine | Shawnee Mission Medical Center Inc | 11245 Shawnee Mission Pkwy, Adventhealth Centra Care Shawnee, Shawnee, KS 66203-3333 |
| Street Address |
9301 W 74TH ST |
| City | MERRIAM |
| State | KS |
| Zip | 66204-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Marie Madsen | Internal Medicine | Shawnee Mission Medical Center Inc | 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 |
| Michelle R Dudzinski | Obstetrics/gynecology | Shawnee Mission Medical Center Inc | 9301 W 74th St, 130 Ahmg Gynecologic Oncology At Shawne, Merriam, KS 66204-2207 |
| Estelle Renae Schmidt | Nurse Practitioner | Shawnee Mission Medical Center Inc | 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 |
| Bradley D Yost | Family Medicine | Shawnee Mission Medical Center Inc | 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 |
| Suzanne Elizabeth Ozbun | Family Medicine | Shawnee Mission Medical Center Inc | 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 |
| William S Ritter | Cardiovascular Disease (cardiology) | Shawnee Mission Medical Center Inc | 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 |
| Brook A Melvin | Nurse Practitioner | Shawnee Mission Medical Center Inc | 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 |
| Montgomery L Roberts | Pulmonary Disease | Shawnee Mission Medical Center Inc | 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 |
| Lowell J Byers | Gynecological Oncology | Shawnee Mission Medical Center Inc | 9301 W 74th St, Merriam, KS 66204-2207 |
| Paula E Vogt | Nurse Practitioner | Shawnee Mission Medical Center Inc | 9301 W 74th St, 100 Ahmg Hematology Oncology At Shawnee, Merriam, KS 66204-2217 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel S Mitchell | Anesthesiology | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Gregory A Trempy | Anesthesiology | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Jonathan E Ferns | Anesthesiology | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Melanie L Yunger | Nurse Practitioner | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Timothy R Lair | Anesthesiology | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Stacy Forrestt | Physician Assistant | Midwest Anesthesia Associates, Pa | 7315 E Frontage Rd, Suite 140, Merriam, KS 66204-1600 |
| Kimberly A Cochran | Neurology | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Albert T Chmielewski | Family Practice | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Jason K Bessey | Family Practice | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Lauren J Bessey | Family Practice | Shawnee Mission Medical Center Inc | 7301 E Frontage Rd, Merriam, KS 66204-1632 |
| Find all physicians in zip 66204 | |||
| City | MERRIAM |
| Zip Code | 66204 |
| Specialty | GYNECOLOGICAL ONCOLOGY |
| City + Specialty | MERRIAM + GYNECOLOGICAL ONCOLOGY |
Please comment or provide details below to improve the information on Brenda L Shoup.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.