Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shawnee Mission Pediatrics, PA

Organization Pediatrics Physician · NPI 1801988688

Shawnee Mission Pediatrics, PA provides Pediatrics Physician services in Overland Park, Kansas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8901 W 74th St Ste 10
Overland Park, KS 66204-2204
Phone: (913) 362-1660
Fax: (913) 362-5916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1801988688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Jackson — President · (913) 362-1660
NPI enumeratedSeptember 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address8901 W 74th St, Suite 10, Overland Park, KS 66204-2204

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