Providence Care An Operating Division of Providence Medical Ctr
NPI 1700921970ActiveOrganization· General Practice· Bonner Springs, KS
General Practice in Bonner Springs, Kansas, registered in NPPES in February 2007, part of Providence Medical Center. The authorized official on file is Randall G. Nyp, President/Ceo.
Overview
| NPI | 1700921970 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Providence Medical Center |
| NPI issued | Feb 21, 2007 |
| Last updated in NPPES | Apr 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|