Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 04-27019 | KS |
N | 207RC0000X | Internist - Cardiovascular Disease | R6P37 | MO |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 04-27019 | KS |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | R6P37 | MO |
NPI | 1184645285 |
---|---|
Provider Name | Martin P Emert |
First Address | Kansas City, KS 66160-8500 |
Second Address | Kansas City, KS 66160-8500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2006 |
Last Update Date | 10/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
051712 | BCBS KS (01) | KS |
100291040A | (05) | KS |
100291040B | (05) | KS |
208705228 | (05) | MO |
24108013 | BCBS KC (01) | |
G48301 | (02) |