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NPI Code Detail

MEDICARE: DR. ANDREW CHARLES HUSS M.D.

MEDICARE: DR. ANDREW CHARLES HUSS 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
1208000000XPediatrics Physician2015013281MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12012016265OTHERMOMISSOURI MEDICAL LICENSE

General Provider Information

NPI Number : 1528329083
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW CHARLES HUSS M.D.
Provider Business Mailing Address
First Line : 1425 NW BLUE PKWY
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-5705
Country : US
Telephone Number : 816-524-5600
Fax Number :
Provider Business Practice Location Address
First Line : 1600 NW SOUTH OUTER RD
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-2963
Country : US
Telephone Number : 816-525-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 10/06/2015

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