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Organization

Prime Healthcare Physician Services - Providence Inc

NPI Record: ActiveGeneral Practice
NPI1356683213
Shawnee, Kansas

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 identified

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

Not checked

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.

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Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • General Practice

    Allopathic & Osteopathic Physicians

    Primary

    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 204E00000X
  • Anesthesiology

    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 207L00000X
  • Anesthesiology

    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 207LP2900X
  • Family 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 207Q00000X
  • Internal 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 207R00000X
  • Internal 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 207RC0000X
  • Internal 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 207RG0100X
  • Obstetrics & 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 207VF0040X
  • Orthopaedic 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 207X00000X
  • Preventive 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 2083P0011X
  • Psychiatry & 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 2084N0400X
  • Surgery

    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 208600000X
  • Surgery

    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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