Provider Demographics
NPI:1588832091
Name:TRUMAN MEDICAL CENTER INCORPORATED
Entity Type:Organization
Organization Name:TRUMAN MEDICAL CENTER INCORPORATED
Other - Org Name:TMC ANESTHESIOLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, INTERNAL AUDIT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-404-3485
Mailing Address - Street 1:7900 LEES SUMMIT RD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64139-1236
Mailing Address - Country:US
Mailing Address - Phone:816-404-7000
Mailing Address - Fax:816-404-9081
Practice Address - Street 1:7900 LEES SUMMIT RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64139-1236
Practice Address - Country:US
Practice Address - Phone:816-404-7000
Practice Address - Fax:816-404-9081
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRUMAN MEDICAL CENTER, INCORPORATED
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-19
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO540568409Medicaid
N700000OtherMEDICARE UNSPECIFIED