CAITLIN ANNE ELMORE MD NPI 1063909711

NPI Information

NPI: 1063909711
Provider Name: CAITLIN ANNE ELMORE, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6265 ROCK CHALK DR STE 1100
LAWRENCE, KS
ZIP 66049
Phone: (785) 842-5070
Get Directions

Caitlin Anne Elmore, MD is a general practice in Lawrence, KS with 6 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Caitlin Anne Elmore, MD NPI is 1063909711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6265 ROCK CHALK DR STE 1100
LAWRENCE, KS
ZIP 66049-232
Phone: (785) 842-5070
Fax: (785) 505-5264

The NPI 1063909711 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2018 and was last updated on 11/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		MISSOURI	No
2	208D00000X	General Practice	2018017386	MISSOURI	No
3	208D00000X	General Practice	04-46667	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30004836230001	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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