Prime Healthcare Physician Services - Providence Inc
Prime Healthcare Physician Services - Providence Inc is an Oral & Maxillofacial Surgery (D.M.D.) in Shawnee, Kansas. Works from 19 locations. Registered with an NPI since 2013.
- In the registry since
- 2013
- Specialties on file
- 14
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
16663 Midland Dr Ste 100Shawnee, KS 66217-3042
Phone: (913) 631-2600
Fax: (913) 631-2606
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (18)
- 15604 Pinehurst Dr Ste 2, Basehor, KS 66007-8234 — (913) 728-2200
- 913 Sheidley Ave, Bonner Springs, KS 66012-9514 — (913) 322-7222
- 8101 Parallel Pkwy Ste 100, Kansas City, KS 66112-2067 — (913) 299-9200
- 8919 Parallel Pkwy Ste 206, Kansas City, KS 66112-1655 — (913) 334-6800
- 8919 Parallel Pkwy Ste 416, Kansas City, KS 66112-1655 — (913) 596-5104
- 8919 Parallel Pkwy Ste 121, Kansas City, KS 66112-1655 — (913) 596-7230
- 8929 Parallel Pkwy, Kansas City, KS 66112-1689 — (913) 596-3930
- 8919 Parallel Pkwy Ste 455, Kansas City, KS 66112-3628 — (913) 596-4929
- 8919 Parallel Pkwy Ste 440, Kansas City, KS 66112-1655 — (913) 596-7286
- 1420 S 42nd St, Kansas City, KS 66106-1952 — (913) 831-1100
- 8919 Parallel Pkwy Ste 580, Kansas City, KS 66112-1655 — (913) 596-7224
- 8919 Parallel Pkwy Ste 555, Kansas City, KS 66112-3628 — (913) 596-3940
- 3550 S 4th St Ste 200, Leavenworth, KS 66048-5009 — (913) 680-6442
- 3500 S 4th St, Leavenworth, KS 66048-5043 — (913) 680-6000
- 3550 S 4th St Ste 115, Leavenworth, KS 66048-5061 — (913) 596-7224
- 3550 S 4th Street, Leavenworth, KS 66048 — (913) 680-6000
- 7255 Renner Rd, Shawnee, KS 66217-3043 — (913) 334-6800
- 7230 Renner Rd, Shawnee, KS 66217-9901 — (913) 962-2122
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | Taxonomy 204E00000X |
| Anesthesiology Physician | Taxonomy 207L00000X |
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X |
| Family Medicine Physician | Taxonomy 207Q00000X |
| Internal Medicine Physician | Taxonomy 207R00000X |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X |
| Gastroenterology Physician | Taxonomy 207RG0100X |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | Taxonomy 207VF0040X |
| Orthopaedic Surgery Physician | Taxonomy 207X00000X |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | Taxonomy 2083P0011X |
| Neurology Physician | Taxonomy 2084N0400X |
| Surgery Physician | Taxonomy 208600000X |
| Pediatric Surgery Physician | Taxonomy 2086S0120X |
Record details
| NPI number | 1356683213 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Prime Healthcare Services, Inc |
| Authorized official | Christopher Doan — Managing Associate General Counsel · (310) 259-4706 |
| Other names | Providence Medical Group |
| NPI enumerated | March 19, 2013 |
| Last updated in NPPES | August 25, 2025 |
| Certification date | August 25, 2025 |
| Mailing address | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 |