Providence Medical Group

LBN: Providence Medical Group
Providence Medical Group is an health care organization with primary practice located at 8919 Parallel Pkwy Ste 555 , Kansas City KS 66112-3628. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Providence Medical Group can be contacted via phone (913) 596-3930, or through Mcdaniel, Diedre via phone (913) 596-4000.

Contact Information

Primary practice address
8919 Parallel Pkwy Ste 555 Kansas City KS 66112-3628
Phone: (913) 596-3930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcdaniel, Diedre NA
Phone: (913) 596-4000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1952947939
LBN Legal business name Providence Medical Group
DBA Doing business as
Authorized official Mcdaniel, Diedre NA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2019
Last updated Nov 26th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952947939 NPPES
Kansas Other 1598741472 NPI

Popular Providers