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Contact Information

MICHAEL J WAXMAN, MD
6420 PROSPECT AVENUE
T303
KANSAS CITY, MO64132
 Phone: 816-333-1919
 Fax: 816-361-1930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL J WAXMAN · (Male)

NPI # 1093773095
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2006
Last updated 09/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0417387
  • MO License # R1E71
  • KS Medicaid 100206310 B
  • KS Medicaid 100206310 C
  • KS Medicaid 100206310A
  • KS Medicaid 100206310D
  • MO Medicaid 202423208
Hospital affiliation(s)
  • CENTERPOINT MEDICAL CENTER OF INDEPENDENCE LLC - (Acute Care)
    19600 EAST 39TH STREET
    INDEPENDENCE, MO 64057
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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