Provider Demographics
NPI:1295755767
Name:MIDWEST GASTROENTEROLOGY PARTNERS PC
Entity type:Organization
Organization Name:MIDWEST GASTROENTEROLOGY PARTNERS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:K
Authorized Official - Last Name:TAORMINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-251-1200
Mailing Address - Street 1:3601 NE RALPH POWELL RD
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2357
Mailing Address - Country:US
Mailing Address - Phone:816-251-1200
Mailing Address - Fax:816-251-1280
Practice Address - Street 1:3601 NE RALPH POWELL RD
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2357
Practice Address - Country:US
Practice Address - Phone:816-251-1200
Practice Address - Fax:816-251-1280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOJ340000Medicare ID - Type Unspecified