Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0415554 | KS |
NPI | 1033203971 |
---|---|
Provider Name | John A Romito |
First Address | Overland Park, KS 66215-2305 |
Second Address | Overland Park, KS 66215-2305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100200530A | (05) | KS |
100200530D | (05) | KS |
1033203971 | (05) | MO |
10816012 | BCBS (01) | KS |
C50586 | (02) |