MEDICARE: DR. ANTHONY J SPAEDY M.D.

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	207RC0000X	Cardiovascular Disease Physician	105424	MO
2	207RI0011X	Interventional Cardiology Physician	04-46227	KS

General Provider Information

NPI Number	:	1851384192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY J SPAEDY M.D.

Provider Business Mailing Address
First Line	:	4000 CAMBRIDGE ST STE G600
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8501
Country	:	US
Telephone Number	:	913-588-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 CAMBRIDGE ST STE G600
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8501
Country	:	US
Telephone Number	:	913-588-9600
Fax Number	:

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	12/14/2022

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