Individual
SCOTT R. CEULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 RAINBOW BLVD, PROFESSIONAL SERVICES OF KU HOSPITAL, KANSAS CITY, KS 66160-0001
(913) 588-6504
(913) 588-9104
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
207P00000X
Emergency Medicine Physician
Primary
04-27637
KS
207R00000X
Internal Medicine Physician
04-27637
KS
208000000X
Pediatrics Physician
04-27637
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001798000
CHP PROVIDER NUMBER
—
01
—
27283033
BCBS PSKU
—
01
—
675781
FIRSTGUARD
—
01
—
7031368
AETNA
—
Enumeration date
08/30/2006
Last updated
11/14/2007
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