Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Medical Group

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1952947939

Providence Medical Group is a Sports Medicine (Orthopaedic Surgery) Physician in Kansas City, Kansas. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

8919 Parallel Pkwy Ste 555
Kansas City, KS 66112-3628
Phone: (913) 596-3930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1952947939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diedre McDaniel — Medical Staff Office · (913) 596-4000
NPI enumeratedNovember 25, 2019
Last updated in NPPESNovember 26, 2019
Mailing address8919 Parallel Pkwy Ste 555, Kansas City, KS 66112-3628

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