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NPI Code Detail

MEDICARE: CARONDELET EMERGENCY PHYSICIANS INC

MEDICARE: CARONDELET EMERGENCY PHYSICIANS INC
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
1207P00000XEmergency Medicine PhysicianMD100341MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4CU0181OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1140684700OTHERILST JOSEPH'S FEDERAL WC
213247011OTHERMOBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558363838
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARONDELET EMERGENCY PHYSICIANS INC
Provider Business Mailing Address
First Line : PO BOX 11347
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32120-1347
Country : US
Telephone Number : 386-274-7800
Fax Number : 386-274-7801
Provider Business Practice Location Address
First Line : 1000 CARONDELET DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64114-4673
Country : US
Telephone Number : 816-942-4400
Fax Number :
Authorized Official
Title or Position : PRESIDNET
Name : PATRICK GREENWOOD
Credential : MD
Telephone Number : 816-942-4400
Provider Enumeration Date : 06/01/2005
Last Update Date : 04/25/2011

Similar Medicare Providers

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Practice Location Address:
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64114-4673
Practice Phone: 816-943-7604
Practice Fax:
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1033047022 — MANDEEP KAUR M.D.
Practice Location Address:
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Practice Fax:
1457953705 — MR. ROBERT LOUIS TUTTLE III APRN
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64114-4673
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Practice Fax: 816-943-4757
1144414244 — AMIT J PATEL M.D.
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1972820090 — REDA M DAHER D.O.
Practice Location Address:
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Practice Fax:

Directions to “CARONDELET EMERGENCY PHYSICIANS INC ” Practice Location

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