MEDICARE: DR. RICHARD MCENTEE 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	207X00000X	Orthopaedic Surgery Physician	1124104005	KS
2	207X00000X	Orthopaedic Surgery Physician	112845	GA
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1891377180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD MCENTEE MD

Provider Business Mailing Address
First Line	:	2220 N DRUID HILLS RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3117
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-5000
Fax Number	:

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

Provider Enumeration Date	:	04/26/2021
Last Update Date	:	05/18/2026

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