MEDICARE: HOPKINS RHEUMATOLOGY PC

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	207RR0500X	Rheumatology Physician	MO112746	MO

General Provider Information

NPI Number	:	1316113467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPKINS RHEUMATOLOGY PC

Provider Business Mailing Address
First Line	:	PO BOX 24050
Second Line	:
City	:	SHAWNEE MISSION
State	:	KS
Zip	:	66283-4050
Country	:	US
Telephone Number	:	816-961-5301
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 NW MOCK AVE STE A
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2541
Country	:	US
Telephone Number	:	816-961-5301
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/PROVIDER
Name	:	DR. PAUL KATZENSTEIN
Credential	:	MD
Telephone Number	:	816-961-5301

Provider Enumeration Date	:	05/07/2008
Last Update Date	:	05/07/2008

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