MEDICARE: THOMAS W LOEW 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	2080P0207X	Pediatric Hematology & Oncology Physician	31874	IA
2	2080P0207X	Pediatric Hematology & Oncology Physician	2009015205	MO
3	2080P0207X	Pediatric Hematology & Oncology Physician	04-38896	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	59896	OTHER	IA	WELLMARK BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437144151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS W LOEW MD

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MAIL STOP 2031
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-6340
Fax Number	:	913-588-2245

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MAIL STOP 2031
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-6340
Fax Number	:	913-588-2245

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	05/16/2016

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Directions to “ THOMAS W LOEW MD” Practice Location

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