Provider Demographics
NPI:1760488837
Name:TAUBER, JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:TAUBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 BROADWAY ST
Mailing Address - Street 2:STE 202
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3342
Mailing Address - Country:US
Mailing Address - Phone:816-531-9100
Mailing Address - Fax:816-531-9105
Practice Address - Street 1:4400 BROADWAY ST
Practice Address - Street 2:STE 202
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3342
Practice Address - Country:US
Practice Address - Phone:816-531-9100
Practice Address - Fax:816-531-9105
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0427169207W00000X
MOR5J65207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0812119OtherCIGNA
MO209248400Medicaid
MO4302824OtherAETNA
KS103342OtherBLUE CROSS BLUE SHIELD
MO15159059OtherBLUE CROSS BLUE SHIELD
MOS15000023OtherMEDICARE
MOP851089AMedicare ID - Type UnspecifiedINDIVIUAL NUMBER
MO4302824OtherAETNA