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General NPI Number Information
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NPI Number | 1043203698
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Entity Type | Individual
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Provider Name | SCOTT E EVELOFF MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 3470 NE RALPH POWELL RD SUITE B
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2336
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Country | US
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Telephone | 913-498-3003
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Fax | 913-341-5958
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Provider Business Mailing Address
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Address Line | 3470 NE RALPH POWELL RD SUITE B
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City | LEES SUMMIT
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State | MO
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Zip | 64064-2336
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Country | US
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Telephone | 913-498-3003
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Fax | 913-341-5958
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 106596
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 0425096
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 35879
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25096
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License Number State | KS
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