1255315289 NPI number — THEODORE H RIGHTS MD

Table of content: THEODORE H RIGHTS MD (NPI 1255315289)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255315289 NPI number — THEODORE H RIGHTS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIGHTS
Provider First Name:
THEODORE
Provider Middle Name:
H
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255315289
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 E EVERGREEN ST
Provider Second Line Business Mailing Address:
PO BOX 557
Provider Business Mailing Address City Name:
CAMERON
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64429-2400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-632-2101
Provider Business Mailing Address Fax Number:
816-649-3383

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
212 N DAVIS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAMILTON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64644-1143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-583-7839
Provider Business Practice Location Address Fax Number:
816-583-7842
Provider Enumeration Date:
12/02/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  106787 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 930021603 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 7857433 . This is a "MEDICARE PART B" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 206021008 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".