Individual
ANDREW MICHAEL AUSMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD., PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010019820
MO
208000000X
Pediatrics Physician
2010019820
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2017014403
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942511233
—
WI
Enumeration date
07/01/2010
Last updated
07/21/2022
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