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PHYLLIS L. SULLIVAN DO
NPI 1386686434
Family Medicine in Shawnee, KS

Active since June 12, 2006
7405 RENNER RD, KU MEDWEST, SHAWNEE, KS 66217(913) 588-8400(913) 588-8413 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis L. Sullivan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS L. SULLIVAN DO (NPI 1386686434) is an individual family medicine provider in Shawnee, Kansas, licensed in Kansas (05-24472) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1386686434
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePHYLLIS L. SULLIVANCredential: DO
Location Address7405 RENNER RD, KU MEDWESTShawnee, KS 66217-9414
Mailing Address2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med, Ste. 312Westwood, KS 66205-2005 · (913) 588-9000 · Fax (913) 588-9822
Phone(913) 588-8400
Fax(913) 588-8413
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateSeptember 13, 2011
✔ NPI 1386686434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KS · 05-24472✔ Licensed in MO · R1H49
Definition
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.
7405 RENNER RD, Shawnee, KS 66217
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Other Identifiers 11

Other326972Firstguard
Medicare PINJ610011AKS
Other4331498Aetna
Medicare UPINC49934
Medicaid100231070BKS
Other13470888Bcbs
Other481159444Jayhawk Tax Id
Other157695XXPreferred Care Of Ny
Other25562039Bcbs Kumw Uc
Other10001636401Chp Provider Number
OtherP00052983Rr Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA A STONE MD
Internal Medicine
7405 RENNER RD
SHAWNEE, KS 66217
Johnson County (913) 588-8465
HUDA H. ALANI MD
Pediatrics
7405 RENNER RD, KU MEDWEST
SHAWNEE, KS 66217
Johnson County (913) 588-8400
RACHEL MARIE MCGRAW P.T.
Physical Therapist
7405 RENNER RD
SHAWNEE, KS 66217
Johnson County (913) 588-3506
MEGAN LEE MOE PT, DPT
Physical Therapist
7405 RENNER RD
LENEXA, KS 66217
Johnson County (913) 588-3510
JOLENE KIM DO
Family Medicine
7405 RENNER RD
SHAWNEE, KS 66217
Johnson County (913) 588-8465
LANA N RENK PA-C
Physician Assistant (Medical)
7405 RENNER RD
SHAWNEE, KS 66217
Johnson County (913) 588-8465
RICHARD BOLLIG LSCSW, LCSW
Social Worker (Clinical)
7405 RENNER RD
SHAWNEE, KS 66217
Johnson County (913) 588-3581
MS. AMANDA N SCOTT P.A.-C.
Physician Assistant
7405 RENNER RD
SHAWNEE, KS 66217
Johnson County (913) 588-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Sullivan's NPI number?

The NPI number for Phyllis Sullivan is 1386686434. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Phyllis Sullivan located?

Phyllis Sullivan practices at 7405 Renner Rd Ku Medwest, Shawnee, KS 66217. The listed phone number is (913) 588-8400.

What is Phyllis Sullivan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Sullivan was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.