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

Shawnee Mission Medical Center, Inc

Organization Family Medicine Physician · NPI 1942317854

Shawnee Mission Medical Center, Inc is a Family Medicine Physician in Shawnee, Kansas. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11245 Shawnee Mission Pkwy
Shawnee, KS 66203-3333
Phone: (913) 268-4455
Fax: (913) 268-4493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1942317854
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShawnee Mission Medical Center, Inc
Authorized official Karsten Randolph — Exec Vp & Cfo · (913) 676-2152
Other names Adventhealth Centra Care; Adventhealth Centra Care
NPI enumeratedAugust 24, 2006
Last updated in NPPESNovember 18, 2019
Mailing address11245 Shawnee Mission Parkway, Shawnee, KS 66203-3333

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