Provider Demographics
NPI:1699778480
Name:SHULER, FREDERICK NOAH (MD)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:NOAH
Last Name:SHULER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6675 HOLMES RD
Mailing Address - Street 2:STE 320
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1167
Mailing Address - Country:US
Mailing Address - Phone:816-444-6911
Mailing Address - Fax:816-444-3393
Practice Address - Street 1:6675 HOLMES RD
Practice Address - Street 2:STE 320
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1167
Practice Address - Country:US
Practice Address - Phone:816-444-6911
Practice Address - Fax:816-444-3393
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4E46207RG0100X
KS04-19423207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C51036Medicare UPIN
MO0005235Medicare ID - Type Unspecified