Healthcare Provider Details

I. General information

NPI: 1679570444
Provider Name (Legal Business Name): JOEL PHILLIP KARASEK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 SHERMAN AVE
SAINT JOSEPH MO
64506-3649
US

IV. Provider business mailing address

3955 SHERMAN AVE
SAINT JOSEPH MO
64506-3649
US

V. Phone/Fax

Practice location:
  • Phone: 816-232-6601
  • Fax: 816-232-6606
Mailing address:
  • Phone: 816-232-6601
  • Fax: 816-232-6606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number105500
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: