| Midtown Family Medicine Pc | |
|
3406 Broadway Blvd Ste B Kansas City MO 64111-2767 | |
| (816) 756-5839 | |
| (816) 756-5874 |
| Full Name | Midtown Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3406 Broadway Blvd Ste B, Kansas City, Missouri |
| Authorized Official Name and Position | Susan Diebold (OFFICE MANAGER) |
| Authorized Official Contact | 8167565839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Family Medicine Pc 3406 Broadway Blvd Ste B Kansas City MO 64111-2767 Ph: (816) 756-5839 | Midtown Family Medicine Pc 3406 Broadway Blvd Ste B Kansas City MO 64111-2767 Ph: (816) 756-5839 |
| NPI Number | 1376784835 |
|---|---|
| Provider Enumeration Date | 03/13/2009 |
| Last Update Date | 04/14/2021 |
| Medicare PECOS PAC ID | 2961558622 |
|---|---|
| Medicare Enrollment ID | O20090922000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376784835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36683 (Missouri) | Primary |
| Provider Name | Gary A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477545762 PECOS PAC ID: 2163421678 Enrollment ID: I20061211000593 |
| Provider Name | Mary Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013209188 PECOS PAC ID: 1850579947 Enrollment ID: I20110620000259 |
| Provider Name | Sydney A Sigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043602089 PECOS PAC ID: 1557689064 Enrollment ID: I20150414000445 |
| Provider Name | Margaret M Schmidtlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962778407 PECOS PAC ID: 0840594347 Enrollment ID: I20160203001705 |
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