Provider Demographics
NPI:1932213527
Name:CULVER, PERRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:J
Last Name:CULVER
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 1:4321 WASHINGTON
Mailing Address - Street 2:SUITE 5600
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5905
Mailing Address - Country:US
Mailing Address - Phone:913-642-7237
Mailing Address - Fax:
Practice Address - Street 1:4321 WASHINGTON
Practice Address - Street 2:SUITE 5600
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5905
Practice Address - Country:US
Practice Address - Phone:913-642-7237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8F77207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO12592020OtherBLUE CROSS BLUE SHIELD KC
MO206906109Medicaid
MO206906109Medicaid
2955800BMedicare PIN
2955800AMedicare PIN
2955800Medicare PIN