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NPI Code Detail

MEDICARE: DR. CHARLES SCOTT RASMUSSEN D.O.

MEDICARE: DR. CHARLES SCOTT RASMUSSEN 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
1207Q00000XFamily Medicine PhysicianDR.0061567CO
2207Q00000XFamily Medicine Physician2005019384MO
3207Q00000XFamily Medicine Physician05-45220KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2263496OTHERMOMEDICARE RHC

Other Identifiers

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

General Provider Information

NPI Number : 1891826269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES SCOTT RASMUSSEN D.O.
Provider Business Mailing Address
First Line : 525 BRANSON LANDING BLVD
Second Line : STE. 508
City : BRANSON
State : MO
Zip : 65616-2052
Country : US
Telephone Number : 417-335-7540
Fax Number : 417-335-7588
Provider Business Practice Location Address
First Line : 310 E WALNUT ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5572
Country : US
Telephone Number : 620-275-9752
Fax Number : 620-275-4306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 03/07/2024

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