Prime Healthcare Physician Services - Providence Inc
General Practice Clinic
16663 Midland Dr Ste 100, Shawnee
Kansas, 66217-3042
913-631-2600 913-631-2606
Maps & DirectionsPrime Healthcare Physician Services - Providence Inc 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 Prime Healthcare Physician Services - Providence Inc is Christopher Doan
who is Managing Associate General Counsel of the clinic and their contact number is 310-259-4706.
Prime Healthcare Physician Services - Providence Inc Clinic 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.
Complete Profile:
Prime Healthcare Physician Services - Providence Inc 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 Prime Healthcare Physician Services - Providence Inc Clinic are as mentioned below.
| NPI Number: | 1356683213 |
| Parent Organization: | Prime Healthcare Services, Inc |
| NPI Enumeration Date: | 19 Mar, 2013 |
| NPI Last Update On: | 25 Aug, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prime Healthcare Physician Services - Providence Inc 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: | Prime Healthcare Physician Services - Providence Inc
8929 Parallel Pkwy,
Kansas City, Kansas |
| Zip: | 66112-1689 |
| Phone Number: | 913-596-3930 |
| Fax Number: | 913-596-4098 |
Patients can reach Prime Healthcare Physician Services - Providence Inc at
16663 Midland Dr Ste 100, Shawnee, Kansas or can
call to book an appointment on 913-631-2600.
Comments/ Reviews:
Patients can read all the reviews posted for Prime Healthcare Physician Services - Providence Inc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Prime Healthcare Physician Services - Providence Inc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.