| Roger Anibal De La Torre, MD | |
|
1 Hospital Dr, Columbia, MO 65212-0001 | |
| (573) 882-5619 | |
| (573) 884-4611 |
| Full Name | Roger Anibal De La Torre |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 39 Years |
| Location | 1 Hospital Dr, Columbia, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134115728 | NPI | - | NPPES |
| 203050802 | Medicaid | MO | |
| 203050803 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R3P10 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Menorah Medical Center | Overland park, KS | Hospital |
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Town Plaza Family Practice Llc | 5496749913 | 16 |
| Town Plaza Family Practice Llc | 5496749913 | 16 |
| Entity Name | Town Plaza Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972543494 PECOS PAC ID: 5496749913 Enrollment ID: O20140120000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Anibal De La Torre, MD 5701 W 119th St Ste 305, Overland Park, KS 66209-3721 Ph: (913) 345-6960 | Roger Anibal De La Torre, MD 1 Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-5619 |
Olivia Louise Bolles, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141 | |
Ioan-andrei Scumpu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Mchaney Hall 404, Dco75.00, Columbia, MO 65212 Phone: 573-884-2000 | |
Marc L Miller, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 115 Business Loop 70 W, Columbia, MO 65203 Phone: 573-882-8454 Fax: 573-884-6054 | |
Dr. Mary Carr, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000 | |
Brent W Miedema, MD Surgery Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr # 617, Columbia, MO 65201 Phone: 573-814-6346 | |
Dr. Kelley Marie Ray, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-2000 | |
Thalia Catalina Anderson, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4141 |