Basic Information
Provider Information
NPI: 1669478079
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEIGHBOR
FirstName: ERNEST
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2790 CLAY EDWARDS DR
Address2: STE 600
City: N KANSAS CITY
State: MO
PostalCode: 641163274
CountryCode: US
TelephoneNumber: 8165613003
FaxNumber: 8168891584
Practice Location
Address1: 2790 CLAY EDWARDS DR
Address2: STE 600
City: N KANSAS CITY
State: MO
PostalCode: 641163274
CountryCode: US
TelephoneNumber: 8165613003
FaxNumber: 8168891584
Other Information
ProviderEnumerationDate: 06/22/2005
LastUpdateDate: 03/09/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000XR3283MON Other Service ProvidersSpecialist 
207X00000XR3283MOY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home