Provider Demographics
NPI:1386688661
Name:ROPE, DOUGLAS MERRILL (M D)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:MERRILL
Last Name:ROPE
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5920 NALL AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3407
Mailing Address - Country:US
Mailing Address - Phone:913-677-1445
Mailing Address - Fax:
Practice Address - Street 1:5920 NALL AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3407
Practice Address - Country:US
Practice Address - Phone:913-677-1445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOMDR7621207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C51656Medicare UPIN