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NPI Code Detail

MEDICARE: MICHAEL N. FINE, DPM, PC

MEDICARE: MICHAEL N. FINE, DPM, PC
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
1213EP1101XPrimary Podiatric Medicine Podiatrist679MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CJ8263OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
222440035OTHERMOBCBS ID
41033147277OTHERMOTYPE 1 NPI

General Provider Information

NPI Number : 1083821904
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL N. FINE, DPM, PC
Provider Business Mailing Address
First Line : 2700 CLAY EDWARDS DR STE 360
Second Line :
City : KANSAS CITY
State : MO
Zip : 64116-3270
Country : US
Telephone Number : 816-455-8900
Fax Number : 816-455-8901
Provider Business Practice Location Address
First Line : 2700 CLAY EDWARDS DR STE 360
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3270
Country : US
Telephone Number : 816-455-8900
Fax Number : 816-455-8901
Authorized Official
Title or Position : PODIATRIST
Name : DR. MICHAEL N FINE
Credential : DPM
Telephone Number : 816-455-8900
Provider Enumeration Date : 05/17/2007
Last Update Date : 08/10/2022

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