Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2020014929 | MO |
N | 207X00000X | Orthopaedic Surgeon | 57010712 | OH |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2020014929 | MO |
NPI | 1083825384 |
---|---|
Provider Name | Levi Nathan Gause |
First Address | Kansas City, MO 64184-3966 |
Second Address | Columbia, MO 65212-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 17/02/2021 |