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NPI Code Detail

MEDICARE: CHRISTOPHER R BARTALOS DO

MEDICARE: CHRISTOPHER R BARTALOS DO
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
1207P00000XEmergency Medicine Physician2004008628MO
2207RG0100XGastroenterology Physician2004008628MO

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 : 1720076607
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER R BARTALOS DO
Provider Business Mailing Address
First Line : 20 NE SAINT LUKE'S BLVD SUITE 330
Second Line :
City : LEE'S SUMMIT
State : MO
Zip : 64086-0172
Country : US
Telephone Number : 816-554-3838
Fax Number : 816-554-1634
Provider Business Practice Location Address
First Line : 20 NE SAINT LUKES BLVD STE 330
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-6001
Country : US
Telephone Number : 816-554-3838
Fax Number : 816-554-1634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 07/22/2013

Similar Medicare Providers

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1003493594 — SAMANTHA ACACIA JANSSEN MD
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1790777548 — JINA L. PATTON ACNP-PP
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LEES SUMMIT, MO
64086-6001
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Practice Fax: 816-347-4421
1770568925 — DR. LISA LEVIN AMSTERDAM M.D.
Practice Location Address:
20 NE SAINT LUKES BLVD , SUITE 310
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1962473215 — MRS. MICHELLE ANN GUINTA MSN RN FNP-C
Practice Location Address:
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1053362681 — MATTHEW CIANCIOLO DO
Practice Location Address:
20 NE SAINT LUKES BLVD , STE. 200
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64086-6001
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Practice Fax: 816-347-5136

Directions to “ CHRISTOPHER R BARTALOS DO” Practice Location

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