MEDICARE: CABOT LEE SWEENEY MD

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	207Q00000X	Family Medicine Physician	2004033208	MO
2	207Q00000X	Family Medicine Physician	4301513156	MI

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	:	1912999277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CABOT LEE SWEENEY MD

Provider Business Mailing Address
First Line	:	600 NW MURRAY RD
Second Line	:	SUITE 210
City	:	LEES SUMMIT
State	:	MO
Zip	:	64081-1204
Country	:	US
Telephone Number	:	816-524-2626
Fax Number	:	816-524-0173

Provider Business Practice Location Address
First Line	:	600 NW MURRAY RD
Second Line	:	SUITE 210
City	:	LEES SUMMIT
State	:	MO
Zip	:	64081-1204
Country	:	US
Telephone Number	:	816-524-2626
Fax Number	:	816-524-0173

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	10/23/2024

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Directions to “ CABOT LEE SWEENEY MD” Practice Location

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