Provider Demographics
NPI:1538196175
Name:REINTJES, STEPHEN L (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:L
Last Name:REINTJES
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2700 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3251
Mailing Address - Country:US
Mailing Address - Phone:816-691-5289
Mailing Address - Fax:816-346-7690
Practice Address - Street 1:2750 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 410
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3237
Practice Address - Country:US
Practice Address - Phone:816-471-8114
Practice Address - Fax:816-842-5342
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2016-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR5J27207T00000X
KS04-22720207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1538196175Medicaid
MOMA5446001Medicare UPIN
E10504Medicare UPIN
MOJ650608Medicare PIN