| Dimitri Golfinopoulos, Do, Pa | |
|
400 E Red Bridge Rd Ste 207 Kansas City MO 64131-4030 | |
| (913) 681-2398 | |
| (913) 681-2416 |
| Full Name | Dimitri Golfinopoulos, Do, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 E Red Bridge Rd Ste 207, Kansas City, Missouri |
| Authorized Official Name and Position | Dimitri Golfinopoulos (DIRECTOR) |
| Authorized Official Contact | 9136812398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dimitri Golfinopoulos, Do, Pa 400 E Red Bridge Rd Ste 207 Kansas City MO 64131-4030 Ph: (913) 681-2398 | Dimitri Golfinopoulos, Do, Pa 400 E Red Bridge Rd Ste 207 Kansas City MO 64131-4030 Ph: (913) 681-2398 |
| NPI Number | 1740320829 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 0143126292 |
|---|---|
| Medicare Enrollment ID | O20031209001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740320829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 05-28058 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dimitri Golfinopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558380576 PECOS PAC ID: 4284530338 Enrollment ID: I20031216000828 |
| Provider Name | Tara M Nemero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346838026 PECOS PAC ID: 6002200581 Enrollment ID: I20220225002023 |
| Provider Name | Paul John Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194303339 PECOS PAC ID: 8123412657 Enrollment ID: I20220228001205 |
| Provider Name | Edith Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376284166 PECOS PAC ID: 5991160467 Enrollment ID: I20230505001433 |
| Provider Name | Andrew Christopher Beisser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275241978 PECOS PAC ID: 3971962572 Enrollment ID: I20230629002100 |
| Provider Name | Tamerayehu A Tolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154020998 PECOS PAC ID: 2961868013 Enrollment ID: I20230822001513 |
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