DOC SHOP PA NPI 1275139305

NPI Information

  • NPI: 1275139305
  • Provider Name: DOC SHOP, PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 17D2205212
  • Address: 5407 JOHNSON DR
    MISSION, KS
    ZIP 66205
  • Phone: (913) 362-0220

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NPI Details

DOC SHOP, PA is a family medicine in Mission, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DOC SHOP, PA NPI is 1275139305. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5407 JOHNSON DR
MISSION, KS
ZIP 66205-912
Phone: (913) 362-0220
Fax: (913) 362-0440

The provider's authorized official is Sharon D. Lee .
The authorized official title is President and has the following contact phone number (913) 362-0220.

The CLIA number assigned to this NPI record is 17D2205212 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2020 and was last updated on 11/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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