1932272929 NPI number — DR. THOMAS V PALMA L.P.

Table of content: DR. THOMAS V PALMA L.P. (NPI 1932272929)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932272929 NPI number — DR. THOMAS V PALMA L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PALMA
Provider First Name:
THOMAS
Provider Middle Name:
V
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
L.P.
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:
1932272929
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
221 W 48TH ST
Provider Second Line Business Mailing Address:
APT 903
Provider Business Mailing Address City Name:
KANSAS CITY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64112-3159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-645-7000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
221 W 48TH ST APT 903
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64112-3159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-645-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2006

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: 103TC1900X , with the licence number:  2002030473 , 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: 201212718 . This is a "LUMENOS" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 2176688 . This is a "CIGNA" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 2244494002 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 32036026 . This is a "BC&BS - KC" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".
  • Identifier: 498790104 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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