Prime Healthcare Physician Services - Providence Inc
NPI 1356683213ActiveOrganization· General Practice· Shawnee, KS
General Practice in Shawnee, Kansas, registered in NPPES in March 2013, part of Prime Healthcare Services, Inc. The authorized official on file is Christopher Doan, Managing Associate General Counsel. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1356683213 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prime Healthcare Services, Inc |
| NPI issued | Mar 19, 2013 |
| Last updated in NPPES | Aug 25, 2025 |
| Certified by provider | Aug 25, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (KS) |
|---|
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