Basic Information
| Provider Information | |||||||||
| NPI: | 1205956919 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOWARD | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | MCDONALD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4606 W 87TH TER | ||||||||
| Address2: | |||||||||
| City: | PRAIRIE VILLAGE | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662071922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9135939491 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2301 HOLMES ST | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641082640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8164040099 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2007 | ||||||||
| LastUpdateDate: | 10/27/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 2022022320 | MO | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | 04-34821 | KS | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 208600000X | 94-06247 | KS | N | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.