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1255432951

NPI Code Detail

MEDICARE: METRO EMERGENCY PHYSICIAN LLC

MEDICARE: METRO EMERGENCY PHYSICIAN LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	141161401	OTHER		WC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	141161400	OTHER		WC
4	141161403	OTHER		WC
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	25572016	OTHER	MO	BCBS
7	141161402	OTHER		WC
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255432951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO EMERGENCY PHYSICIAN LLC

Provider Business Mailing Address
First Line	:	PO BOX 78009
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63178-8009
Country	:	US
Telephone Number	:	866-898-7142
Fax Number	:	616-957-9824

Provider Business Practice Location Address
First Line	:	4401 WORNALL RD
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-3220
Country	:	US
Telephone Number	:	816-932-2047
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN HENDREN
Credential	:	MD
Telephone Number	:	816-932-2047

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	01/23/2026

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1003818345 — DR. LISA MARIE HERMES M.D.
Practice Location Address:

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1417956897 — DR. DIANNA LYNN HICKMAN M.D.
Practice Location Address:

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Directions to “METRO EMERGENCY PHYSICIAN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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