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NPI Code Detail

MEDICARE: MICHAEL CRIM D.O.

MEDICARE: MICHAEL CRIM D.O.
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
1207Q00000XFamily Medicine Physician2004010828MO

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 : 1982609699
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CRIM D.O.
Provider Business Mailing Address
First Line : 5400 N OAK TRFY STE 200
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4690
Country : US
Telephone Number : 816-453-0900
Fax Number : 816-453-3895
Provider Business Practice Location Address
First Line : 5400 N OAK TRFY STE 200
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-4690
Country : US
Telephone Number : 816-453-0900
Fax Number : 816-453-3895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 05/28/2019

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