MEDICARE: DR. FREDERICK B LINTECUM 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	207V00000X	Obstetrics & Gynecology Physician	R6A42	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841299823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK B LINTECUM M.D.

Provider Business Mailing Address
First Line	:	4320 WORNALL RD
Second Line	:	SUITE 720
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-5941
Country	:	US
Telephone Number	:	816-531-5311
Fax Number	:	816-531-6025

Provider Business Practice Location Address
First Line	:	4320 WORNALL RD
Second Line	:	SUITE 720
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-5941
Country	:	US
Telephone Number	:	816-531-5311
Fax Number	:	816-531-6025

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	09/03/2014

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Directions to “ DR. FREDERICK B LINTECUM M.D.” Practice Location

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