| Midwest Gi Health LLC | |
|
3601 Ne Ralph Powell Rd Lees Summit MO 64064-2358 | |
| (816) 207-2000 | |
| (816) 207-2222 |
| Full Name | Midwest Gi Health LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3601 Ne Ralph Powell Rd, Lees Summit, Missouri |
| Authorized Official Name and Position | Marc K Taormina (OWNER / PROVIDER) |
| Authorized Official Contact | 8162072000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Gi Health LLC 3601 Ne Ralph Powell Rd Lees Summit MO 64064-2358 Ph: (816) 207-2000 | Midwest Gi Health LLC 3601 Ne Ralph Powell Rd Lees Summit MO 64064-2358 Ph: (816) 207-2000 |
| NPI Number | 1497265078 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 10/09/2017 |
| Medicare PECOS PAC ID | 1850657347 |
|---|---|
| Medicare Enrollment ID | O20171116001682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497265078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | Amy a Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255358875 PECOS PAC ID: 4183657281 Enrollment ID: I20051026001101 |
| Provider Name | Jennifer D Skouse-voll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598971699 PECOS PAC ID: 7113015306 Enrollment ID: I20081105000355 |
| Provider Name | Marc K Taormina |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992788038 PECOS PAC ID: 3476467572 Enrollment ID: I20111123000671 |
| Provider Name | Emilee M Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427702729 PECOS PAC ID: 4284020496 Enrollment ID: I20220414001925 |
| Provider Name | Joan A. Chandra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265886394 PECOS PAC ID: 3476842865 Enrollment ID: I20220713002787 |
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