Provider Demographics
NPI:1871535922
Name:LANGDON, COURTNEY D (MD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:D
Last Name:LANGDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4321 WASHINGTON ST
Mailing Address - Street 2:SUITE 6000
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-5961
Mailing Address - Country:US
Mailing Address - Phone:816-756-2255
Mailing Address - Fax:816-931-4080
Practice Address - Street 1:5844 NW BARRY RD
Practice Address - Street 2:SUITE 300
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64154-1465
Practice Address - Country:US
Practice Address - Phone:816-880-6238
Practice Address - Fax:816-880-2770
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO115859207RC0200X, 207RP1001X
KS0431425207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200379170BMedicaid
MO205101207Medicaid
27606035OtherBCBS KC
P00464053OtherRR MEDICARE PTAN
27606055OtherBCBS KC
MO205101207Medicaid
27606055OtherBCBS KC
KS200379170BMedicaid