Provider Demographics
NPI:1528026374
Name:MARSO, STEVEN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PATRICK
Last Name:MARSO
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 1:2330 E MEYER BLVD STE 509
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1177
Mailing Address - Country:US
Mailing Address - Phone:816-276-4800
Mailing Address - Fax:816-523-1425
Practice Address - Street 1:2330 E MEYER BLVD
Practice Address - Street 2:SUITE 509
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1132
Practice Address - Country:US
Practice Address - Phone:816-276-4800
Practice Address - Fax:816-523-1425
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8944207RC0000X
MO118255207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100361520EMedicaid
KS100361520GMedicaid
KSP00842624OtherRAILROAD MEDICARE
KS100361520HMedicaid
KSKA1021023OtherMEDICARE/CUSHING
MOP00836142OtherRAILROAD MEDICARE
KS100361520BOtherMEDICAID/CUSHING
KS100361520AMedicaid
KSP00842624OtherRAILROAD MEDICARE
MOMA2491041Medicare PIN
KS100361520EMedicaid
KS100361520HMedicaid
KS100361520HMedicaid
KSKA1724024Medicare PIN