MEDICARE: DR. JOSEPH TAUBER 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	207W00000X	Ophthalmology Physician	0427169	KS
2	207W00000X	Ophthalmology Physician	R5J65	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	S15000023	OTHER	MO	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0812119	OTHER	MO	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4302824	OTHER	MO	AETNA
4	103342	OTHER	KS	BLUE CROSS BLUE SHIELD
5	15159059	OTHER	MO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1760488837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH TAUBER M.D.

Provider Business Mailing Address
First Line	:	4400 BROADWAY ST
Second Line	:	STE 202
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3342
Country	:	US
Telephone Number	:	816-531-9100
Fax Number	:	816-531-9105

Provider Business Practice Location Address
First Line	:	4400 BROADWAY ST
Second Line	:	STE 202
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3342
Country	:	US
Telephone Number	:	816-531-9100
Fax Number	:	816-531-9105

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	03/28/2023

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Directions to “ DR. JOSEPH TAUBER M.D.” Practice Location

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