MEDICARE: DR. STEVEN HENDLER M.D.

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	208100000X	Physical Medicine & Rehabilitation Physician	102443	MO
2	208100000X	Physical Medicine & Rehabilitation Physician	04-24433	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	250013267	OTHER	KS	RAILROAD MEDICARE PIN
6	250013268	OTHER	KS	RAILROAD MEDICARE PIN
7	250013266	OTHER	MO	RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	404065	OTHER	BC BS OF KS
2	4662708	OTHER	AETNA
4	0669109004	OTHER	CIGNA
5	2196144	OTHER	AETNA

General Provider Information

NPI Number	:	1063462992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN HENDLER M.D.

Provider Business Mailing Address
First Line	:	11111 NALL AVE
Second Line	:	#222
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1625
Country	:	US
Telephone Number	:	913-338-5448
Fax Number	:	913-317-8340

Provider Business Practice Location Address
First Line	:	11111 NALL AVE
Second Line	:	# 222
City	:	LEAWOOD
State	:	KS
Zip	:	66211-1625
Country	:	US
Telephone Number	:	913-338-5448
Fax Number	:	913-317-8340

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	08/23/2012

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Directions to “ DR. STEVEN HENDLER M.D.” Practice Location

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