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NPI Code Detail

MEDICARE: GATES HOSPITALISTS LLC

MEDICARE: GATES HOSPITALISTS LLC
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
1207R00000XInternal Medicine Physician2000174342MO

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
333624016OTHERMOBLUE SHIELD KANSAS CITY

General Provider Information

NPI Number : 1699774893
Entity Type Code : Organization
Provider Name (Legal Business Name) : GATES HOSPITALISTS LLC
Provider Business Mailing Address
First Line : PO BOX 256
Second Line :
City : LIBERTY
State : MO
Zip : 64069-0256
Country : US
Telephone Number : 816-968-9320
Fax Number :
Provider Business Practice Location Address
First Line : 2750 CLAY EDWARDS DR STE 200A
Second Line :
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3237
Country : US
Telephone Number : 816-968-9320
Fax Number :
Authorized Official
Title or Position : BUSINESS MANAGER
Name : STACEY MICHELLE GATES
Credential :
Telephone Number : 816-968-9320
Provider Enumeration Date : 07/19/2005
Last Update Date : 03/27/2021

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1083611941 — DR. LANCER GENTRY GATES D.O.
Practice Location Address:
2750 CLAY EDWARDS DR STE 200A
NORTH KANSAS CITY, MO
64116-3237
Practice Phone: 816-968-9320
Practice Fax:
1083613251 — DR. FRANK SCOTT WERNER MD
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2750 CLAY EDWARDS DR , SUITE 312
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1538168711 — DR. THOMAS M REARDON MD
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2750 CLAY EDWARDS DR , SUITE 312
NORTH KANSAS CITY, MO
64116-3237
Practice Phone: 816-453-4000
Practice Fax: 816-842-1425
1689673675 — DR. GREGORY A EASON MD
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2750 CLAY EDWARDS DR , SUITE 312
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Practice Fax: 816-842-1425
1063411031 — DR. JON S GENGLER MD
Practice Location Address:
2750 CLAY EDWARDS DR , SUITE 312
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Practice Fax: 816-842-1425
1326047325 — NORTHLAND GENERAL SURGERY, PC
Practice Location Address:
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Practice Phone: 816-453-4000
Practice Fax: 816-842-1425

Directions to “GATES HOSPITALISTS LLC ” Practice Location

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