OrganizationActive
American Dermatology Associates, LLC
NPI 1063441103 · Dermatology Physician · Shawnee Mission, KS
Provider details
- NPI number
- 1063441103
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Baumgartner, Associate Administrator(785) 354-8518
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6333 Long Ave
Suite 360
Shawnee Mission, KS 66216-2559
Phone: (913) 631-6330
Fax: (913) 631-6222
Street-level locationGet directions
Mailing address
6333 Long Ave
Shawnee Mission, KS 66216-2559
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2008-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.