Individual
DR. MATTHEW CATERINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19609 E 9TH ST S, INDEPENDENCE, MO 64056-3088
(816) 796-1412
(816) 796-3398
Mailing address
14309 WOODSON ST, OVERLAND PARK, KS 66223-2692
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2002000093
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2002000093
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100414880B
—
KS
05
—
205834203
—
MO
01
—
300129106
RR MEDICARE
MO
01
—
P00102244
RR MEDICARE
MO
01
—
P00313595
RR MEDICARE
KS
Enumeration date
10/18/2005
Last updated
08/02/2012
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