Healthcare Provider Details

I. General information

NPI: 1518076728
Provider Name (Legal Business Name): EDWARD B. TOBY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD ORTHOPEDIC SURGERY MS 3017
KANSAS CITY KS
66160
US

IV. Provider business mailing address

3901 RAINBOW BLVD. MS 4070 DELP
KANSAS CITY KS
66160-7816
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6100
  • Fax: 913-588-8186
Mailing address:
  • Phone: 913-588-6100
  • Fax: 913-588-8186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number04-23638
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number04-23638
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: