MEDICARE: DR. ERIN MAUREEN ALGEO D.O.

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	207R00000X	Internal Medicine Physician	2016018710	MO

General Provider Information

NPI Number	:	1376986406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN MAUREEN ALGEO D.O.

Provider Business Mailing Address
First Line	:	901 E. 104TH ST
Second Line	:	MAILSTOP 400N
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-9712
Country	:	US
Telephone Number	:	816-502-7104
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 WORNALL RD STE 65
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-5945
Country	:	US
Telephone Number	:	816-932-6100
Fax Number	:

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

Provider Enumeration Date	:	04/08/2013
Last Update Date	:	11/16/2017

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