Provider Demographics
NPI:1578594404
Name:FOLK, SCOTT MICHAEL (MD, FACP)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MICHAEL
Last Name:FOLK
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:901 HEARTLAND RD
Mailing Address - Street 2:SUITE 4840
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-6200
Mailing Address - Country:US
Mailing Address - Phone:816-271-1346
Mailing Address - Fax:816-271-1344
Practice Address - Street 1:901 HEARTLAND RD
Practice Address - Street 2:SUITE 4840
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-6200
Practice Address - Country:US
Practice Address - Phone:816-271-1346
Practice Address - Fax:816-271-1344
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO116772207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100325480AMedicaid
MO110177953OtherRAILROAD MEDICARE
MO203842802Medicaid
MOB41339Medicare UPIN
KS100325480AMedicaid