| Dr Louis David Jamtgaard, MD | |
|
5325 Faraon St, Saint Joseph, MO 64506-3488 | |
| (816) 271-6122 | |
| (816) 271-6019 |
| Full Name | Dr Louis David Jamtgaard |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5325 Faraon St, Saint Joseph, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255696308 | NPI | - | NPPES |
| 1255696308 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2012017825 (Missouri) | Primary |
| Entity Name | Northwest Medical Center Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124164322 PECOS PAC ID: 5496641896 Enrollment ID: O20040224000204 |
| Entity Name | Heartland Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477575405 PECOS PAC ID: 6709772767 Enrollment ID: O20040225001201 |
| Entity Name | Mosaic Medical Center - Maryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184189797 PECOS PAC ID: 3678813896 Enrollment ID: O20190405001537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Louis David Jamtgaard, MD 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6122 | Dr Louis David Jamtgaard, MD 5325 Faraon St, Saint Joseph, MO 64506-3488 Ph: (816) 271-6122 |
Daniel Shashy Masin, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6122 | |
Dr. Crystal Renae Macaluso, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6445 | |
Zach Robert Boal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6000 | |
Dr. Lilane J Reifenberg, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-561-1025 | |
Mr. Scott Alan Franksen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2303 Village Dr, Saint Joseph, MO 64506 Phone: 816-232-6818 Fax: 816-232-6823 | |
Michelle Ann Spieker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6122 Fax: 816-271-6019 | |
Dr. Evan Richard Slanczka, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Faraon St, Saint Joseph, MO 64506 Phone: 816-271-6122 Fax: 816-271-6019 |