Midwest Gi Health Llc | |
3601 Ne Ralph Powell Rd Lees Summit MO 64064-2358 | |
(816) 207-2000 | |
(816) 207-2222 |
Full Name | Midwest Gi Health Llc |
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Speciality | Internal Medicine |
Location | 3601 Ne Ralph Powell Rd, Lees Summit, Missouri |
Authorized Official Name and Position | Marc K Taormina (OWNER / PROVIDER) |
Authorized Official Contact | 8162072000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midwest Gi Health Llc 3601 Ne Ralph Powell Rd Lees Summit MO 64064-2358 Ph: (816) 207-2000 | Midwest Gi Health Llc 3601 Ne Ralph Powell Rd Lees Summit MO 64064-2358 Ph: (816) 207-2000 |
NPI Number | 1497265078 |
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Provider Enumeration Date | 10/09/2017 |
Last Update Date | 10/09/2017 |
Medicare PECOS PAC ID | 1850657347 |
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Medicare Enrollment ID | O20171116001682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497265078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Narin J Tipton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477720654 PECOS PAC ID: 0345313573 Enrollment ID: I20080722000395 |
Provider Name | Marc K Taormina |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1992788038 PECOS PAC ID: 3476467572 Enrollment ID: I20111123000671 |
Provider Name | Sarah J Broughton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740720465 PECOS PAC ID: 9335425982 Enrollment ID: I20170413001003 |
Provider Name | Joan A. Chandra |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1265886394 PECOS PAC ID: 3476842865 Enrollment ID: I20220713002787 |
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