Provider Demographics
NPI:1689667008
Name:RIGDEN, JAMIE P (MD)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:P
Last Name:RIGDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4517
Mailing Address - Country:US
Mailing Address - Phone:816-502-8752
Mailing Address - Fax:
Practice Address - Street 1:4321 WASHINGTON ST STE 4000
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-5965
Practice Address - Country:US
Practice Address - Phone:816-932-3300
Practice Address - Fax:816-932-5793
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO107865207RH0003X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO12443OtherHM CARE
MO560451OtherFIRSTGUARD
KS704711OtherBCBS OF KANSAS
MO026295099OtherBLACK LUNG
MO97761OtherADVANTRA MEDICARE HMO
MO3000208OtherUHC
MO480911591030OtherCIGNA
MO10001457601OtherCOMMUNITY HEALTH PLAN
MO026295099OtherBLACK LUNG
MO12443OtherHM CARE
MO3000208OtherUHC
MO21999011OtherBCBS
MOE92919Medicare UPIN
MO026295099OtherBLACK LUNG
MO5827769AMedicare ID - Type UnspecifiedMEDICARE OUTREACH
MO207962101Medicaid