Individual
DR. JOHN B STURGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8800 W 75TH ST, SUITE 310, SHAWNEE MISSION, KS 66204-2205
(913) 671-7803
Mailing address
PO BOX 803855, KANSAS CITY, MO 64180-3855
(913) 234-1350
(913) 234-1108
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0423283
KS
207RG0100X
Gastroenterology Physician
MD114207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100014795
RR MEDICARE
—
05
—
100159950B
—
KS
01
—
100514
BLUE CROSS BS GARNETT
KS
01
—
20913039
BCBS OF KCMO INDIVIDUAL NUMBER UNDER GROUP 40286019
—
01
—
424345
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
08/09/2005
Last updated
09/25/2014
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