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

Shawnee Mission Pediatrics, PA

Organization Pediatrics Physician · NPI 1801988688

Shawnee Mission Pediatrics, PA is a Pediatrics Physician in Overland Park, Kansas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8901 W 74th St Ste 10
Overland Park, KS 66204-2204
Phone: (913) 362-1660
Fax: (913) 362-5916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1801988688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Jackson — President · (913) 362-1660
NPI enumeratedSeptember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8901 W 74th St, Suite 10, Overland Park, KS 66204-2204

Other providers in Overland Park