MEDICARE: THOMAS DESKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD102249	MO
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	MD102249	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CU0181	OTHER	MO	RAILROAD MEDICARE
5	930016800	OTHER	MO	RR MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	19454039	OTHER	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003815135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS DESKIN MD

Provider Business Mailing Address
First Line	:	2000 OLATHE BLVD LEVEL 1, SUITE D
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-0001
Country	:	US
Telephone Number	:	913-945-8904
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 OLATHE BLVD LEVEL 1, SUITE D
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-0001
Country	:	US
Telephone Number	:	135-882-2009
Fax Number	:	913-588-8423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	03/19/2024

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Directions to “ THOMAS DESKIN MD” Practice Location

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