Organization
Prime Healthcare Physician Services - Providence Inc
Provider's NPPES record last updated: August 25, 2025
Overview
- Entity Type
- Organization
- NPI
- 1356683213
- Primary Specialty
- General Practice
- Practice Location
- Shawnee, Kansas
- Organization Subpart
- Yes
- Parent Organization
- Prime Healthcare Services, Inc
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 5:13 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
General Practice
Allopathic & Osteopathic Physicians
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Taxonomy code 208D00000X Oral & Maxillofacial Surgery
Allopathic & Osteopathic Physicians
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Taxonomy code 204E00000XAnesthesiology
Allopathic & Osteopathic Physicians
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Taxonomy code 207L00000XAnesthesiology
Pain Medicine
Allopathic & Osteopathic Physicians
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Taxonomy code 207LP2900XFamily Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000XInternal Medicine
Allopathic & Osteopathic Physicians
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Taxonomy code 207R00000XInternal Medicine
Cardiovascular Disease
Allopathic & Osteopathic Physicians
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Taxonomy code 207RC0000XInternal Medicine
Gastroenterology
Allopathic & Osteopathic Physicians
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Taxonomy code 207RG0100XObstetrics & Gynecology
Urogynecology and Reconstructive Pelvic Surgery
Allopathic & Osteopathic Physicians
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Taxonomy code 207VF0040XOrthopaedic Surgery
Allopathic & Osteopathic Physicians
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Taxonomy code 207X00000XPreventive Medicine
Undersea and Hyperbaric Medicine
Allopathic & Osteopathic Physicians
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Taxonomy code 2083P0011XPsychiatry & Neurology
Neurology
Allopathic & Osteopathic Physicians
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Taxonomy code 2084N0400XSurgery
Allopathic & Osteopathic Physicians
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Taxonomy code 208600000XSurgery
Pediatric Surgery
Allopathic & Osteopathic Physicians
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Taxonomy code 2086S0120X
Practice Locations
Practice Location
16663 Midland Dr Ste 100
Shawnee, Kansas 66217-3042
Phone: (913) 631-2600
Additional Practice Location
15604 Pinehurst Dr Ste 2
Basehor, Kansas 66007-8234
Phone: (913) 728-2200
Additional Practice Location
3500 S 4th St
Leavenworth, Kansas 66048-5043
Phone: (913) 680-6000
Additional Practice Location
3550 S 4th Street
Saint John Outpatient Surgery
Leavenworth, Kansas 66048
Phone: (913) 680-6000
Additional Practice Location
8919 Parallel Pkwy Ste 121
Kansas City, Kansas 66112-1655
Phone: (913) 596-7230
Fax: (913) 596-7228
Additional Practice Location
8919 Parallel Pkwy Ste 416
Kansas City, Kansas 66112-1655
Phone: (913) 596-5104
Additional Practice Location
8919 Parallel Pkwy Ste 555
Kansas City, Kansas 66112-3628
Phone: (913) 596-3940
Fax: (913) 596-3730
Additional Practice Location
8919 Parallel Pkwy Ste 455
Kansas City, Kansas 66112-3628
Phone: (913) 596-4929
Additional Practice Location
8919 Parallel Pkwy Ste 440
Kansas City, Kansas 66112-1655
Phone: (913) 596-7286
Additional Practice Location
7255 Renner Rd
Shawnee, Kansas 66217-3043
Phone: (913) 334-6800
Additional Practice Location
8919 Parallel Pkwy Ste 206
Kansas City, Kansas 66112-1655
Phone: (913) 334-6800
Additional Practice Location
8101 Parallel Pkwy Ste 100
Kansas City, Kansas 66112-2067
Phone: (913) 299-9200
Additional Practice Location
3550 S 4th St Ste 115
Leavenworth, Kansas 66048-5061
Phone: (913) 596-7224
Additional Practice Location
8919 Parallel Pkwy Ste 580
Kansas City, Kansas 66112-1655
Phone: (913) 596-7224
Additional Practice Location
913 Sheidley Ave
Bonner Springs, Kansas 66012-9514
Phone: (913) 322-7222
Additional Practice Location
3550 S 4th St Ste 200
Leavenworth, Kansas 66048-5009
Phone: (913) 680-6442
Additional Practice Location
1420 S 42nd St
Kansas City, Kansas 66106-1952
Phone: (913) 831-1100
Additional Practice Location
7230 Renner Rd
Shawnee, Kansas 66217-9901
Phone: (913) 962-2122
Fax: (913) 962-2422
Additional Practice Location
8929 Parallel Pkwy
Kansas City, Kansas 66112-1689
Phone: (913) 596-3930
Fax: (913) 596-4098
Other Names
- Providence Medical GroupReported November 4, 2020
Record Information
- Enumeration Date
- March 19, 2013
- Provider's NPPES Record Last Updated
- August 25, 2025
- Certification Date
- August 25, 2025
- NPISignal NPPES Dataset
- August 2026
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