MEDICARE: DAVID R HOCKMUTH 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	28766	IA
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	2024050047	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154303832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID R HOCKMUTH M.D.

Provider Business Mailing Address
First Line	:	9411 N OAK TRFY STE LL1
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-2262
Country	:	US
Telephone Number	:	816-691-1655
Fax Number	:

Provider Business Practice Location Address
First Line	:	2790 CLAY EDWARDS DR STE 520B
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3276
Country	:	US
Telephone Number	:	816-691-5198
Fax Number	:	816-346-7095

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

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	01/10/2025

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Directions to “ DAVID R HOCKMUTH M.D.” Practice Location

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