Individual
DEAN P HAINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-3937
(573) 884-5575
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
110608
MO
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
110608
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114594
BLUE SHIELD/BLUE CHOICE
MO
05
—
208281402
—
MO
01
—
2086879601
KANSAS MEDICAID
KS
01
—
290287
HEALTHLINK
MO
01
—
809921
UNITED HEALTHCARE
MO
Enumeration date
05/04/2006
Last updated
03/23/2023
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