Provider Demographics
NPI:1891883450
Name:VILMER & VILMER MDS PC
Entity Type:Organization
Organization Name:VILMER & VILMER MDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:VILMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-842-8404
Mailing Address - Street 1:2750 CLAY EDWARDS DRIVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3256
Mailing Address - Country:US
Mailing Address - Phone:816-842-8404
Mailing Address - Fax:816-842-9531
Practice Address - Street 1:2750 CLAY EDWARDS DRIVE
Practice Address - Street 2:SUITE 308
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3256
Practice Address - Country:US
Practice Address - Phone:816-842-8404
Practice Address - Fax:816-842-9531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
01891011OtherBCBS OF KANSAS CITY
01891011OtherBCBS OF KANSAS CITY