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NPI Code Detail

MEDICARE: DR. FRANK W SHAGETS MD

MEDICARE: DR. FRANK W SHAGETS 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
12082S0099XPlastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianR8942MO
2207YX0905XOtolaryngology/Facial Plastic Surgery PhysicianR8942MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2040017042OTHERMORAILROAD MEDICARE PART B

Other Identifiers

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

General Provider Information

NPI Number : 1457351033
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK W SHAGETS MD
Provider Business Mailing Address
First Line : 1410 CRESTWOOD DR
Second Line :
City : JOPLIN
State : MO
Zip : 64801-1040
Country : US
Telephone Number : 417-437-3509
Fax Number :
Provider Business Practice Location Address
First Line : 3011 N MICHIGAN ST
Second Line :
City : PITTSBURG
State : KS
Zip : 66762-2546
Country : US
Telephone Number : 620-240-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 12/29/2021

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