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Contact Information

SARA E CROSS
9100 W 74TH ST
SHAWNEE, KS66204-4004
 Phone: 913-676-2214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SARA E CROSS · (Female)

NPI Number 1821148123
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2007
Last updated 06/30/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2005016345
  • MO License # 2008014373
  • KS Medicaid 2000616950B
  • KS Medicaid 200616950A
  • MO Medicaid 1821148123
  • KS Other 42646026 BCBS KC GROUP 01674018
  • KS Other 42646016 BCBS KC GROUP 30492021
  • KS Other P00738054 RR MEDICARE GROUP CG8899
Hospital affiliation(s)
  • RANSOM MEMORIAL HOSPITAL - (Acute Care)
    1301 S MAIN STREET
    OTTAWA, KS 66067
  • SHAWNEE MISSION MEDICAL CENTER - (Acute Care)
    9100 W 74TH STREET
    SHAWNEE MISSION, KS 66204
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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