MEDICARE: DR. MAXTON EDWARD THOMAN 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	208800000X	Urology Physician	283194	MA
2	208800000X	Urology Physician	2025031315	MO
3	208800000X	Urology Physician	04-51352	KS

General Provider Information

NPI Number	:	1316579030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAXTON EDWARD THOMAN MD

Provider Business Mailing Address
First Line	:	3901 RAINBOW BOULEVARD
Second Line	:	MAIL STOP 3016
City	:	KANSAS CITY
State	:	KS
Zip	:	66160
Country	:	US
Telephone Number	:	913-588-6146
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 CAMBRIDGE ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-2696
Country	:	US
Telephone Number	:	913-588-1227
Fax Number	:

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

Provider Enumeration Date	:	02/11/2020
Last Update Date	:	05/18/2026

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