Provider Demographics
NPI:1801861364
Name:SALLEE, DONALD E II (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:SALLEE
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:3906 OAKLAND AVE
Mailing Address - Street 2:UNIT 8252
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64508-7515
Mailing Address - Country:US
Mailing Address - Phone:816-271-6575
Mailing Address - Fax:816-271-6139
Practice Address - Street 1:5325 FARAON ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3488
Practice Address - Country:US
Practice Address - Phone:816-271-6000
Practice Address - Fax:843-497-9566
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2018-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR9H322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO202804662Medicaid
MOP00364463OtherRR MEDICARE GROUP CK7871
KS200371190AMedicaid
MO36621018OtherBCBS OF KANSAS CITY MO
KS837141OtherBCBS KS FOR MO LOCATION
MO36621018OtherBCBS OF KANSAS CITY MO