| Dr Dustin Urban, DO | |
|
2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | |
| (816) 346-7220 | |
| (816) 346-7242 |
| Full Name | Dr Dustin Urban |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2800 Clay Edwards Dr, North Kansas City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619136793 | NPI | - | NPPES |
| 1619136793 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2013019668 (Missouri) | Primary |
| 207P00000X | Emergency Medicine | OS015490 (Pennsylvania) | Secondary |
| Entity Name | Midwest Emergency Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578556023 PECOS PAC ID: 9335139005 Enrollment ID: O20040514000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dustin Urban, DO Po Box 11157, Kansas City, MO 64119-0157 Ph: (816) 346-7220 | Dr Dustin Urban, DO 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 Ph: (816) 346-7220 |
Dr. Clifford Voyd Weith Ii, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-346-7220 | |
Mr. Oji Demarcus Johnson, ATC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1931 Burlington St, North Kansas City, MO 64116 Phone: 816-241-2131 Fax: 816-241-0551 | |
Judith Lee Tharp, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 599 Armour Rd, North Kansas City, MO 64116 Phone: 816-421-0750 | |
Dr. Julianne M. Mazurek, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-346-7220 Fax: 816-346-7242 | |
Dr. Hugh H. Ryan Ii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-346-7220 Fax: 816-346-7242 | |
Dr. Gary L Carter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-346-7220 Fax: 816-346-7242 | |
Dr. David A George, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-346-7220 Fax: 816-346-7242 |