JAYHAWK PRIMARY CARE INC NPI 1528025053

NPI Information

  • NPI: 1528025053
  • Provider Name: JAYHAWK PRIMARY CARE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: KU MEDWEST
  • CLIA Number: 17D0981653
  • Address: 7405 RENNER RD
    KU MEDWEST
    SHAWNEE, KS
    ZIP 66217
  • Phone: (913) 588-8400

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NPI Details

JAYHAWK PRIMARY CARE INC is a family medicine in Shawnee, 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. JAYHAWK PRIMARY CARE INC NPI is 1528025053. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ku Medwest.

The provider's business location address is:

7405 RENNER RD
KU MEDWEST
SHAWNEE, KS
ZIP 66217-414
Phone: (913) 588-8400
Fax: (913) 588-8413

The provider's authorized official is Steven Brown .
The authorized official title is BILLING DIRECTORDirector and has the following contact phone number (913) 945-5603.

The CLIA number assigned to this NPI record is 17D0981653 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 4/9/2012.

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
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
3225100000XPhysical TherapistNo
4225X00000XOccupational TherapistNo
5207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125562019OTHERBCBS GROUP NUMBER
2100217070CMEDICAIDKANSAS
36631250001MEDICARE NSCKANSAS
4J610000AMEDICARE PINKANSAS
5J610000AMEDICARE ID-TYPE UNSPECIFIEDKANSASMEDICARE GROUP NUMBER
6=========OTHERJAYHAWK TAX ID

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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