Providence Medical Group
NPI 1952947939ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Kansas City, KS
Orthopaedic Surgery, Sports Medicine in Kansas City, Kansas, registered in NPPES in November 2019. The authorized official on file is Diedre McDaniel, NA, Medical Staff Office.
Overview
| NPI | 1952947939 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 25, 2019 |
| Last updated in NPPES | Nov 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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