DR. MATTHEW MAXIMILIAN FELDT (NPI# 1073727269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073727269 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW MAXIMILIAN FELDT |
| Credential | D.O. |
| Practice Address |
3101 Broadway Blvd Kansas City MO 64111-2659 |
| Mailing Address |
2401 Gillham Rd Kansas City MO 64108-4619 |
| Practice Telephone | 8169608000 |
| Mailing Telephone | 8162343000 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
2009011804 | MO | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
05-33759 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
3101 BROADWAY BLVD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619837 | Chris D Stone | Internal Medicine | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2005-06-17 |
| 1013556661 | Taylor Kramer | Speech-Language Pathologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-12-31 |
| 1548810526 | Stephanie Kara Grote | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-09-12 |
| 1306402052 | Whitney Root | Speech-Language Pathologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-05-17 |
| 1780247247 | Misty M Smith | Nurse Practitioner | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-04-19 |
| 1700342466 | Sabetha Young | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2019-02-18 |
| 1811475577 | Lydia Muja Jobickson | Audiologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-08-03 |
| 1801389440 | Bailey Kay Pepperdine | Audiologist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-06-08 |
| 1730676933 | Alannah K Yoder | Pharmacist | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2018-04-13 |
| 1184147092 | Callie Chagas | Dietitian, Registered | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2017-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245430933 | Angela Elaine Santiago Lennon | Pediatrics | 3901 Rainbow Blvd # Ms 3063, Kansas City, KS 66160-0001 | 2007-07-20 |
| 1710320775 | Sonalee Jaya Ravi | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-09 |
| 1386905768 | Jennifer Walters Boyd | Pediatrics | 2401 Gillham Rd, Endocrinology, Kansas City, MO 64108 | 2012-06-02 |
| 1912264789 | Sarah Jane Lenihan Tsai | Pediatrics | 2401 Gillham Rd, Children's Mercy Hospital, Division of Endocrinology, Kansas City, MO 64108-4619 | 2012-04-18 |
| 1609183284 | Pratibha Rana | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2010-09-02 |
| 1932393105 | Julia Rodica Broussard | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-08-30 |
| 1588857817 | Yun Yan | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-08-21 |
| 1992902837 | Mark A Clements | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-07-02 |
| 1104044874 | Tiffany Sue Musick | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-04-20 |
| 1346319175 | Jill Jacobson | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-11-07 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
Please comment or provide details below to improve the information on DR. MATTHEW MAXIMILIAN FELDT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.