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NPI Code Detail

MEDICARE: DR. SUSANA D'AMICO MD, FACE

MEDICARE: DR. SUSANA D'AMICO MD, FACE
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician2002018371MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366624215
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSANA D'AMICO MD, FACE
Provider Business Mailing Address
First Line : 4321 WASHINGTON ST STE 6100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5901
Country : US
Telephone Number : 816-932-3470
Fax Number : 816-932-3492
Provider Business Practice Location Address
First Line : 4321 WASHINGTON ST STE 6100
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5901
Country : US
Telephone Number : 816-932-3470
Fax Number : 816-932-3492
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2007
Last Update Date : 08/02/2021

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Directions to “ DR. SUSANA D'AMICO MD, FACE” Practice Location

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