MEDICARE: DR. GREGORY ALAN ATOR M.D.

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	207YP0228X	Pediatric Otolaryngology Physician	110277	MO

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174580088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY ALAN ATOR M.D.

Provider Business Mailing Address
First Line	:	PO BOX 411851
Second Line	:	UNIVERSITY OF PHYSICIANS INC
City	:	KANSAS CITY
State	:	MO
Zip	:	64141-1851
Country	:	US
Telephone Number	:	913-588-6701
Fax Number	:	913-588-6708

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MS 3010
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-6701
Fax Number	:	913-588-6708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	04/29/2015

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