Healthcare Provider Details

I. General information

NPI: 1619957909
Provider Name (Legal Business Name): PATRICIA A. MCGHIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE HOSPITAL DR
COLUMBIA MO
65212-0001
US

IV. Provider business mailing address

7101 COLLEGE BLVD SUITE 1200
OVERLAND PARK KS
66210-1845
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-7770
  • Fax: 573-882-9876
Mailing address:
  • Phone: 913-319-8400
  • Fax: 913-696-0040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number101166
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number101166
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number101166
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: