Individual
ROBERT E. DATTILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6420 N PROSPECT AVE, GLADSTONE, MO 64119
(913) 945-9700
(913) 945-9707
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
107975
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080158296
RR MEDICARE
—
01
—
10001644900
CHP CREEKWOOD
—
01
—
157695XX
PREFERRED CARE OF NY
—
01
—
18960020
CFU BCBS
—
01
—
2057249
AETNA
—
01
—
21968011
BCBS CREEKWOOD
—
01
—
21968021
BCBS PICTURE HILLS
—
01
—
22039026
BCBS PICTURE HILLS UC
—
01
—
481159444
JAYHAWK TAX ID
—
Enumeration date
06/24/2006
Last updated
06/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us