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NPI Code Detail

MEDICARE: DR. LEES C FORSYTHE M.D.

MEDICARE: DR. LEES C FORSYTHE 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
1207RP1001XPulmonary Disease Physician29673MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
210001514100OTHERCOMMUNITY HEALTH PLAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
404279040OTHERMOBCBS KC

General Provider Information

NPI Number : 1821099979
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEES C FORSYTHE M.D.
Provider Business Mailing Address
First Line : 4321 WASHINGTON ST
Second Line : SUITE 6000
City : KANSAS CITY
State : MO
Zip : 64111-5961
Country : US
Telephone Number : 816-756-2255
Fax Number : 816-931-4080
Provider Business Practice Location Address
First Line : 4321 WASHINGTON ST
Second Line : SUITE 6000
City : KANSAS CITY
State : MO
Zip : 64111-5961
Country : US
Telephone Number : 816-756-2255
Fax Number : 816-931-4080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/24/2010

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