Provider Demographics
NPI:1043985013
Name:TELMEDICINE INFECTIOUS DISEASES LLC
Entity Type:Organization
Organization Name:TELMEDICINE INFECTIOUS DISEASES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASCONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-322-8859
Mailing Address - Street 1:PO BOX 14368
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66285-4368
Mailing Address - Country:US
Mailing Address - Phone:913-322-8859
Mailing Address - Fax:888-778-9471
Practice Address - Street 1:500 NW 68TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-2455
Practice Address - Country:US
Practice Address - Phone:913-322-8859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty