Individual
DR. CHAD A SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116-3220
(816) 346-7220
(816) 346-7242
Mailing address
PO BOX 11157, KANSAS CITY, MO 64119-0157
(913) 234-1350
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2002002153
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31350065
BCBS KC MO
—
01
—
P00125939
RR MEDICARE GROUP CD1534
—
Enumeration date
08/31/2005
Last updated
03/26/2008
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