Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2012009156 | MO |
N | 207V00000X | Obstetrician & Gynecologist | 50283 | AZ |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2012009156 | MO |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 50283 | AZ |
NPI | 1134395007 |
---|---|
Provider Name | Dr. Teresa Ann Orth |
First Address | Kansas City, MO 64108-2640 |
Second Address | Kansas City, MO 64108-2640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 07/07/2015 |