1295734481 NPI number — DR. PATRICK EUGENE MCGREGOR MD

Table of content: DR. PATRICK EUGENE MCGREGOR MD (NPI 1295734481)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295734481 NPI number — DR. PATRICK EUGENE MCGREGOR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGREGOR
Provider First Name:
PATRICK
Provider Middle Name:
EUGENE
Provider Name Prefix Text:
DR.
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:
1295734481
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2750 CLAY EDWARDS DR
Provider Second Line Business Mailing Address:
SUITE 312
Provider Business Mailing Address City Name:
NORTH KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64116-3237
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-453-4000
Provider Business Mailing Address Fax Number:
816-842-1425

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9411 N OAK TRFY
Provider Second Line Business Practice Location Address:
SUITE LL1
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64155-2233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-436-7072
Provider Business Practice Location Address Fax Number:
816-436-2743
Provider Enumeration Date:
07/19/2005

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: 2086S0127X , with the licence number:  110244 , 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: 208538306 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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