| Christopher Michael Daggett, DO | |
| 
					3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361  | |
| (816) 246-0800 | |
| (816) 246-6613 | 
| Full Name | Christopher Michael Daggett | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 3460 Ne Ralph Powell Rd, Lees Summit, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306846092 | NPI | - | NPPES | 
| 214851302 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | R8872 (Missouri) | Primary | 
| Entity Name | Advanced Surgical Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1598913287 PECOS PAC ID: 0244393023 Enrollment ID: O20090106000576  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Christopher Michael Daggett, DO 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 Ph: (816) 246-0800  | Christopher Michael Daggett, DO 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064-2361 Ph: (816) 246-0800  | 
Sheliza Kabani,  Surgery Medicare: Medicare Enrolled Practice Location: 2100 Se Blue Pkwy, Lees Summit, MO 64063 Phone: 310-954-7874  | |
Dr. Austin J Wagner, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3600 Ne Ralph Powell Rd Ste D, Lees Summit, MO 64064 Phone: 816-675-0920  | |
Christie Michelle Brock, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613  | |
Adam Paul Kramer, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3460 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613  | |
Adam Jay Swiger, DO Surgery Medicare: Medicare Enrolled Practice Location: 2861 Ne Independence Ave Ste 205, Lees Summit, MO 64064 Phone: 816-246-0800 Fax: 816-246-6613  | |
Dr. David Rene Mantilla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3600 Ne Ralph Powell Rd Ste D, Lees Summit, MO 64064 Phone: 816-675-0920  |