Daut S Gjoni, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Cameron, MO
NPI 1992891303 · NPPES record last updated Dec 9, 2008
Key facts
- NPI
- 1992891303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD11432 (MO)
- Practice address
- 1600 E Evergreen St
Suite a
Cameron, MO 64429-2400 - Phone
- (816) 649-0500
- Fax
- (816) 649-0049
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11432 | MO | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD11432 | MO | Yes |
Addresses
Primary practice location
1600 E Evergreen St
Suite a
Cameron, MO 64429-2400
Mailing address
1600 E Evergreen St
Suite a
Cameron, MO 64429-2400
Phone (816) 649-0500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27544011 | Other | MO | BLUE CROSS BLUE SHIELD |
| 203949102 | Medicaid | MO |
Other providers in Cameron, MO
- Stephen Gateley
- Richard Welch Gehrs
- Yogesh Gera
- Kortnie Bryanne Gibson
- Jessica Gilgour
- Dana Goble
- Kylie Graham
- Gutshall Clinic of Chiropractic P.C.
- Roger G Gutshall
- Renee K Hahn
All providers in Cameron, MO · Obstetrics & Gynecology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.