Provider Demographics
NPI:1407841943
Name:SCHEUER, DIANE C (DO)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:C
Last Name:SCHEUER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2330 SHAWNEE MISSION PKWY
Mailing Address - Street 2:MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312
Mailing Address - City:WESTWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66205-2005
Mailing Address - Country:US
Mailing Address - Phone:913-588-9000
Mailing Address - Fax:913-588-9822
Practice Address - Street 1:1000 E 101ST TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-3366
Practice Address - Country:US
Practice Address - Phone:913-945-9660
Practice Address - Fax:913-945-9659
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003021699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
7820481OtherAETNA
33430028OtherBCBS BRF
10001834300OtherCHP PROVIDER NUMBER BRF
33430038OtherBCBS FCI
10001834301OtherCHP PROVIDER NUMBER FCI
481159444OtherJAYHAWK TAX ID
MOJ61C699Medicare PIN
33430028OtherBCBS BRF