Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 04-32490 | KS |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2008016031 | MO |
N | 208200000X | Surgeon | 0432490 | KS |
N | 208600000X | Surgeon | 0432490 | KS |
NPI | 1073546578 |
---|---|
Provider Name | Dr. Bart C Patenaude |
First Address | Kansas City, MO 64112-2861 |
Second Address | Kansas City, MO 64110-2453 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 28/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000 | CENTURY HEALTH SOLUTIONS (01) | KS |
000 | CHILDREN'S MERCY (01) | KS |
000 | CIGNA (01) | KS |
000 | COVENTRY (01) | KS |
000 | HUMANA/CHOICE CARE (01) | KS |
000 | INDIAN HEALTH SERVICES (01) | KS |
000 | MULTIPLAN (01) | KS |
000 | PREFERRED HEALTH SYSTEMS (01) | KS |
000 | TRICARE (01) | KS |
000 | UNITED HEALTH CARE (01) | KS |
1073546578 | BCBS OF KANSAS (01) | KS |
200608340D | (05) | KS |
210556 | HEALTH PARTNERS OF KANSAS (01) | KS |