Provider Demographics
NPI:1447368378
Name:DR. PATRICK M NEMECHEK DO, PA, NEMECHECK HEALTH RENEWAL
Entity type:Organization
Organization Name:DR. PATRICK M NEMECHEK DO, PA, NEMECHECK HEALTH RENEWAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEMECHEK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:816-756-0090
Mailing Address - Street 1:4010 WASHINGTON
Mailing Address - Street 2:SUITE 500
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2610
Mailing Address - Country:US
Mailing Address - Phone:816-756-0090
Mailing Address - Fax:816-756-0120
Practice Address - Street 1:4010 WASHINGTON
Practice Address - Street 2:SUITE 500
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-2610
Practice Address - Country:US
Practice Address - Phone:816-756-0090
Practice Address - Fax:816-756-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9N67207R00000X
KS05-23671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100237220BMedicaid
MO247914401Medicaid
MO247914401Medicaid
P830754Medicare ID - Type Unspecified
KS100237220BMedicaid