| Mr Fredrick William Short, DO | |
|
21107 Donahoo Rd, Tonganoxie, KS 66086-4153 | |
| (913) 742-4084 | |
| (913) 742-4086 |
| Full Name | Mr Fredrick William Short |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 21107 Donahoo Rd, Tonganoxie, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780637868 | NPI | - | NPPES |
| 09549174 | Other | BCBS | |
| 100230280C | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0520840 (Kansas) | Primary |
| 207Q00000X | Family Medicine | R4C55 (Missouri) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Fredrick William Short, DO Po Box 996, Tonganoxie, KS 66086-0996 Ph: (913) 742-4084 | Mr Fredrick William Short, DO 21107 Donahoo Rd, Tonganoxie, KS 66086-4153 Ph: (913) 742-4084 |
Jason Foster, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Woodfield Dr, Tonganoxie, KS 66086 Phone: 913-845-8400 | |
William B Weatherford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Woodfield Dr, Tonganoxie, KS 66086 Phone: 785-505-5400 Fax: 785-505-5272 | |
Dr. Alex Gerald Winkler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 410 Woodfield Dr, Tonganoxie, KS 66086 Phone: 785-505-5400 Fax: 785-505-5272 |