Provider Demographics
NPI:1184645285
Name:EMERT, MARTIN P (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:P
Last Name:EMERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 CAMBRIDGE ST STE G600
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-9600
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE ST STE G600
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR6P37207RC0000X, 207RC0001X
KS04-27019207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100291040BMedicaid
MO208705228Medicaid
KS100291040AMedicaid
KS051712OtherBCBS KS
24108013OtherBCBS KC
MO208705228Medicaid
KS060062379Medicare PIN
KS0389887BMedicare PIN
KS110330012Medicare PIN
MO038E0019Medicare PIN
KS051712Medicare PIN
KS100291040BMedicaid
MO0389887AMedicare PIN
24108013OtherBCBS KC