MEDICARE: GRETCHEN ELIZABETH BLACK D.O.

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	208000000X	Pediatrics Physician	2003014690	MO
2	208000000X	Pediatrics Physician	05-33433	KS

General Provider Information

NPI Number	:	1720075773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRETCHEN ELIZABETH BLACK D.O.

Provider Business Mailing Address
First Line	:	2040 HUTTON RD
Second Line	:	SUITE 102
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4526
Country	:	US
Telephone Number	:	913-299-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 HUTTON RD
Second Line	:	SUITE 102
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4526
Country	:	US
Telephone Number	:	913-299-3700
Fax Number	:

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

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	01/26/2012

Similar Medicare Providers

1982477956 — MARIAH RIVAS APRN
Practice Location Address:

2040 HUTTON RD
KANSAS CITY, KS
66109-4526

Practice Phone: 913-299-3700
Practice Fax: 913-299-3050

1922092212 — LISA A LORENZETTI MD
Practice Location Address:

2040 HUTTON RD , SUITE 102
KANSAS CITY, KS
66109-4526

Practice Phone: 913-299-3700
Practice Fax: 913-299-3050

1003899915 — WILLIAM S GREINER MD
Practice Location Address:

2040 HUTTON RD , SUITE 102
KANSAS CITY, KS
66109-4526

Practice Phone: 913-299-3700
Practice Fax: 913-299-3050

1467404327 — SEYED-HAMID ALHOSSEINI MD
Practice Location Address:

2040 HUTTON RD , SUITE 102
KANSAS CITY, KS
66109-4526

Practice Phone: 913-299-3700
Practice Fax: 913-721-3316

1861437006 — LINDA M SALAZAR ARNP
Practice Location Address:

2040 HUTTON RD , SUITE 102
KANSAS CITY, KS
66109-4526

Practice Phone: 913-299-3700
Practice Fax: 913-721-3316

1265591457 — PROFESSIONAL REHABILITATIVE SERVICES,INC.,P.A.
Practice Location Address:

2040 HUTTON RD
KANSAS CITY, KS
66109-4526

Practice Phone: 913-321-8765
Practice Fax: 913-321-0756

Directions to “ GRETCHEN ELIZABETH BLACK D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.