MEDICARE: SUSAN E OPPER 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	207L00000X	Anesthesiology Physician	0426569	KS
2	207L00000X	Anesthesiology Physician	R8G28	MO

General Provider Information

NPI Number	:	1639159635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN E OPPER MD

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	:	816-502-8756
Fax Number	:	816-932-9670

Provider Business Practice Location Address
First Line	:	4321 WASHINGTON STREET
Second Line	:	SUITE 1400
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-0000
Country	:	US
Telephone Number	:	816-932-2000
Fax Number	:

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

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	11/16/2017

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Directions to “ SUSAN E OPPER MD” Practice Location

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