Provider Demographics
NPI:1811947005
Name:SHAWNEE MISSION PULMONARY CONSULTANTS, P.A.
Entity type:Organization
Organization Name:SHAWNEE MISSION PULMONARY CONSULTANTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-362-0300
Mailing Address - Street 1:8901 W. 74TH STREET
Mailing Address - Street 2:SUITE 390
Mailing Address - City:SHAWNEE MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66204
Mailing Address - Country:US
Mailing Address - Phone:913-362-0300
Mailing Address - Fax:913-362-0269
Practice Address - Street 1:8901 W. 74TH STREET
Practice Address - Street 2:SUITE 390
Practice Address - City:SHAWNEE MISSION
Practice Address - State:KS
Practice Address - Zip Code:66204
Practice Address - Country:US
Practice Address - Phone:913-362-0300
Practice Address - Fax:913-362-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100414570AMedicaid
M060000Medicare PIN