Provider Demographics
NPI:1811946189
Name:EMMOTT, DAVID F (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:EMMOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9301 W 74TH ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2232
Mailing Address - Country:US
Mailing Address - Phone:913-831-1003
Mailing Address - Fax:913-831-4801
Practice Address - Street 1:9301 W 74TH ST
Practice Address - Street 2:SUITE 225
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204-2232
Practice Address - Country:US
Practice Address - Phone:913-831-1003
Practice Address - Fax:913-831-4801
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2009-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-19056208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2147992OtherAETNA
404188OtherBCBS RURAL
KS100201370BMedicaid
10928032OtherBCBS
340016721OtherRAILROAD MEDICARE
KSJ716667Medicare PIN
10928032OtherBCBS