Prime Healthcare Physician Services - Providence Inc

Provider details

NPI number

1356683213

Entity type

Organization

Primary specialty

General Practice PhysicianAllopathic & Osteopathic Physicians

Parent organization

Prime Healthcare Services, Inc

Organization subpart

Yes

Authorized official

Christopher Doan, Managing Associate General Counsel(310) 259-4706

Specialties & taxonomies

• General Practice PhysicianPrimary208D00000X

  Allopathic & Osteopathic Physicians

• Oral & Maxillofacial Surgery (D.M.D.)204E00000X

  Allopathic & Osteopathic Physicians

• Anesthesiology Physician207L00000X

  Allopathic & Osteopathic Physicians

• Pain Medicine (Anesthesiology) Physician207LP2900X

  Allopathic & Osteopathic Physicians

• Family Medicine Physician207Q00000X

  Allopathic & Osteopathic Physicians

• Internal Medicine Physician207R00000X

  Allopathic & Osteopathic Physicians

• Cardiovascular Disease Physician207RC0000X

Other names (DBA / former)

Doing business as

Providence Medical Group

Additional practice locations (18)

• 15604 Pinehurst Dr Ste 2

  Basehor, KS 66007-8234

  Phone: (913) 728-2200
• 913 Sheidley Ave

  Bonner Springs, KS 66012-9514

  Phone: (913) 322-7222
• 8919 Parallel Pkwy Ste 416

  Kansas City, KS 66112-1655

  Phone: (913) 596-5104
• 1420 S 42nd St

  Kansas City, KS 66106-1952

  Phone: (913) 831-1100
• 8919 Parallel Pkwy Ste 580

  Kansas City, KS 66112-1655

  Phone: (913) 596-7224
• 8101 Parallel Pkwy Ste 100

  Kansas City, KS 66112-2067

  Phone: (913) 299-9200
• 8919 Parallel Pkwy Ste 206

  Kansas City, KS 66112-1655

  Phone: (913) 334-6800
• 8919 Parallel Pkwy Ste 440

  Kansas City, KS 66112-1655

  Phone: (913) 596-7286
• 8919 Parallel Pkwy Ste 455

  Kansas City, KS 66112-3628

  Phone: (913) 596-4929