Individual
MICHAEL J GIOCONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4330 WORNALL RD, SUITE 2000, KANSAS CITY, MO 64111-5939
(816) 931-1883
(816) 756-3645
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
04-32245
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428590B
—
KS
05
—
200428590D
—
KS
05
—
200428590F
—
KS
05
—
200428590G
—
KS
05
—
207240003
—
MO
01
—
P00842602
RAILROAD MEDICARE
KS
01
—
P00842661
RAILROAD MEDICARE
MO
Enumeration date
11/10/2006
Last updated
11/08/2017
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