Healthcare Provider Details

I. General information

NPI: 1295755767
Provider Name (Legal Business Name): MIDWEST GASTROENTEROLOGY PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 NE RALPH POWELL RD
LEES SUMMIT MO
64064-2357
US

IV. Provider business mailing address

3601 NE RALPH POWELL RD
LEES SUMMIT MO
64064-2357
US

V. Phone/Fax

Practice location:
  • Phone: 816-251-1200
  • Fax: 816-251-1280
Mailing address:
  • Phone: 816-251-1200
  • Fax: 816-251-1280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARC K TAORMINA
Title or Position: PRESIDENT
Credential: MD
Phone: 816-251-1200