Providence Medical Group is a Oral & Maxillofacial Surgery Clinic in Shawnee, Kansas. This organization is also known as sub part of Prime Healthcare Services, Inc. It is situated at 16663 Midland Dr Ste 100, Shawnee and its contact number is 913-631-2600. The authorized person of Providence Medical Group is Christopher Doan
who is Managing Associate General Counsel of the clinic and their contact number is 310-259-4706.
Complete Clinic Profile:
Providence Medical Group Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Oral & Maxillofacial Surgery
Clinic Address:
16663 Midland Dr Ste 100, Shawnee, Kansas, 66217-3042
Phone:
913-631-2600
Fax:
913-631-2606
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Christopher Doan
Position:
Managing Associate General Counsel
Contact Number:
310-259-4706
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Medical Group Clinic are as mentioned below.
NPI Number:
1356683213
Parent Organization:
Prime Healthcare Services, Inc
NPI Enumeration Date:
19 Mar, 2013
NPI Last Update On:
01 Aug, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Medical Group are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Oral & Maxillofacial Surgery
Secondary
Anesthesiology
Secondary
Pain Medicine
Secondary
Family Medicine
Secondary
Internal Medicine
Secondary
Cardiovascular Disease
Secondary
Gastroenterology
Secondary
Female Pelvic Medicine and Reconstructive Surgery
Secondary
Orthopaedic Surgery
Secondary
Undersea and Hyperbaric Medicine
Secondary
Neurology
Secondary
Surgery
Secondary
Pediatric Surgery
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
201193920H
Medicaid
Kansas
500017218
Medicaid
Missouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Medical Group 8929 Parallel Pkwy, Kansas City, Kansas
Zip:
66112-1689
Phone Number:
913-596-3930
Fax Number:
913-596-4098
Patients can reach Providence Medical Group at 16663 Midland Dr Ste 100, Shawnee, Kansas or can call to book an appointment on 913-631-2600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
Oral & Maxillofacial Surgery: 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.