Prime Healthcare Physician Services - Providence Inc
Neurology
16663 Midland Dr Ste 100, Shawnee
Kansas, 66217-3042
913-631-2600 913-631-2606
Maps & DirectionsPrime Healthcare Physician Services - Providence Inc is a Neurology Clinic in Shawnee, Kansas. This organization is also known as sub part of Prime Healthcare Services, Inc. It is located at 16663 Midland Dr Ste 100, Shawnee, KS and its contact number is 913-631-2600. The authorized person for Prime Healthcare Physician Services - Providence Inc is Christopher Doan
who is Managing Associate General Counsel of the clinic and his/her contact number is 310-259-4706.
Prime Healthcare Physician Services - Providence Inc Clinic has licensed physician, who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Neurologists are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Complete Clinic Profile:
Prime Healthcare Physician Services - Providence Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Prime Healthcare Physician Services - Providence Inc |
| Specialization: | Neurology |
| 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 for 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.