Healthcare Provider Details

I. General information

NPI: 1659592046
Provider Name (Legal Business Name): JAMES L GROWNEY P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ATCHISON ST
ATCHISON KS
66002-2352
US

IV. Provider business mailing address

801 ATCHISON ST
ATCHISON KS
66002-2352
US

V. Phone/Fax

Practice location:
  • Phone: 913-367-5020
  • Fax: 913-367-1089
Mailing address:
  • Phone: 913-367-5020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier15-01170
Identifier TypeOTHER
Identifier StateKS
Identifier IssuerLICENSE #
# 2
Identifier1437350741
Identifier TypeOTHER
Identifier StateKS
Identifier IssuerGROUP NPI NUMBER
# 3
Identifier460484
Identifier TypeOTHER
Identifier StateKS
Identifier IssuerCHILDRENS MERCY FAMILY HEALTH PARTNERS
# 4
Identifier111327
Identifier TypeOTHER
Identifier StateKS
Identifier IssuerBLUE CROSS BLUE SHIELD OF KANSAS GROUP NUMBER
# 5
Identifier100087100A
Identifier TypeMEDICAID
Identifier StateKS
Identifier Issuer
# 6
Identifier1078175
Identifier TypeOTHER
Identifier State
Identifier IssuerNCCPA
# 7
Identifier05634011
Identifier TypeOTHER
Identifier StateMO
Identifier IssuerBLUE CROSS BLUE SHIELD OF KANSAS CITY GROUP NUMBER

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: