Provider Demographics
NPI:1306817986
Name:MARX, JAMES B (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:MARX
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2000 NE VIVION RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-6127
Mailing Address - Country:US
Mailing Address - Phone:816-453-1314
Mailing Address - Fax:816-453-3434
Practice Address - Street 1:2000 NE VIVION RD
Practice Address - Street 2:SUITE 100
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-6127
Practice Address - Country:US
Practice Address - Phone:816-453-1314
Practice Address - Fax:816-453-3434
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2016-05-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO102085207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO247741713Medicaid
21001033OtherBCBS OF KC INDIVIDUAL #
080081027OtherRAILROAD MEDICARE
F80578Medicare UPIN
E696567AMedicare PIN