Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter T Phan, DO

Individual provider Emergency Medicine Physician · NPI 1316998941

Dr. Peter T Phan, DO is an Emergency Medicine in Saint Joseph, Missouri. Qualified in 2004, 22 years ago. Practices with Midwest Division - Lrhc LLC, a 49-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas and Missouri.

Years since qualifying
22
Licensed in
AR, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone: (816) 271-6122
Fax: (816) 271-6019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 73153 Military Rd, Covington, LA 70435-6054 — (985) 626-6133
  • 2016 S Main St, Maryville, MO 64468-2655 — (660) 562-7918

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence E-4675 (AR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2006022551 (MO)

Record details

NPI number1316998941
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address12814 Ne 115th Ter, Kearney, MO 64060-9121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Midwest Division - Lrhc Llc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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