Healthcare Provider Details

I. General information

NPI: 1730345828
Provider Name (Legal Business Name): ER HOSPITALIST SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8929 PARALLEL PKWY
KANSAS CITY KS
66112-1689
US

IV. Provider business mailing address

PO BOX 12301
KANSAS CITY KS
66112-0301
US

V. Phone/Fax

Practice location:
  • Phone: 913-596-4000
  • Fax:
Mailing address:
  • Phone: 913-825-6512
  • Fax: 913-328-7011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL A DORSEY
Title or Position: CEO PROVIDENCE HEALTH
Credential:
Phone: 913-596-4000