Provider Demographics
NPI:1245225606
Name:ARTMAN, MICHAEL F (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:ARTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 GILLHAM RD
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-4619
Mailing Address - Country:US
Mailing Address - Phone:816-234-3370
Mailing Address - Fax:816-346-1328
Practice Address - Street 1:2401 GILLHAM RD
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-4619
Practice Address - Country:US
Practice Address - Phone:816-234-3370
Practice Address - Fax:816-346-1328
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20100335742080P0202X
KS04-346582080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA37915OtherWELLMARK BCBS
IA0457168Medicaid
IAI14491Medicare PIN
IA37915OtherWELLMARK BCBS