MEDICARE: ORTHOPEDIC SURGEONS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023147212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOPEDIC SURGEONS, P.A.

Provider Business Mailing Address
First Line	:	2790 CLAY EDWARDS DR STE 650
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3279
Country	:	US
Telephone Number	:	816-459-7500
Fax Number	:	816-459-9611

Provider Business Practice Location Address
First Line	:	6667 HOLMES RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1109
Country	:	US
Telephone Number	:	816-459-7500
Fax Number	:	816-459-9611

Authorized Official
Title or Position	:	AUTHORIZED OFFICAL
Name	:	DAVID W DUGAN
Credential	:
Telephone Number	:	816-459-7500

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	09/28/2023

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