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NPI Code Detail

MEDICARE: DR. JOY ELEANOR CUEZZE MD

MEDICARE: DR. JOY ELEANOR CUEZZE 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
1207QG0300XGeriatric Medicine (Family Medicine) Physician2002015737MO
2207Q00000XFamily Medicine Physician04-35590KS
3207Q00000XFamily Medicine Physician2002015737MO

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 : 1912015389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOY ELEANOR CUEZZE MD
Provider Business Mailing Address
First Line : 400 SW LONGVIEW BLVD STE 200
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64081-2116
Country : US
Telephone Number : 877-279-5960
Fax Number : 877-384-3106
Provider Business Practice Location Address
First Line : 400 SW LONGVIEW BLVD STE 200
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64081-2116
Country : US
Telephone Number : 877-279-5960
Fax Number : 877-384-3106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2006
Last Update Date : 11/26/2025

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Directions to “ DR. JOY ELEANOR CUEZZE MD” Practice Location

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