MICHAEL S FEDOTIN & B WILLIAM GINSBERG PA (NPI# 1093779605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093779605 |
| Entity Type | Organization |
| Organization Name | MICHAEL S FEDOTIN & B WILLIAM GINSBERG PA |
| Practice Address |
2330 E Meyer Blvd Suite 301 Kansas City MO 64132-1132 |
| Practice Telephone | 8163335424 |
| Practice Fax Number | 8168220870 |
| Mailing Telephone | 8163335424 |
| Mailing Fax Number | 8168220870 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | RITA E FIEDLER (OFFICE MANAGER) |
| Authorized Official Telephone | 8163335424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 509749701 | 05 | |
| RR MEDICARE | CP9085 | 01 |
| Street Address |
2330 E MEYER BLVD SUITE 301 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64132-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266174 | Gregory A Merritt | Internal Medicine | 2330 E Meyer Blvd, Suite 301, Kansas City, MO 64132-1132 | 2005-06-28 |
| 1285277244 | La'chelle Ann Moore | Nurse Practitioner | 2330 E Meyer Blvd, Kansas City, MO 64132-1132 | 2019-10-23 |
| 1104336403 | Brooklyn Renee Brende | Clinical Nurse Specialist | 2330 E Meyer Blvd, Kansas City, MO 64132-1132 | 2017-10-02 |
| 1720525736 | Holly Christine Robin | Nurse Practitioner | 2330 E Meyer Blvd, Suite T509, Kansas City, MO 64132 | 2017-01-28 |
| 1750837084 | Holly Skocny | Nurse Practitioner | 2330 E Meyer Blvd, Suite 411, Kansas City, MO 64132-1132 | 2016-08-28 |
| 1063862407 | Jessica Winslow | Nurse Practitioner | 2330 E Meyer Blvd, Suite 411, Kansas City, MO 64132-1132 | 2016-06-16 |
| 1649639253 | Casey Tribble | Nurse Practitioner | 2330 E Meyer Blvd, Suite 101, Kansas City, MO 64132-1132 | 2016-02-11 |
| 1659756914 | Kellie Beth Morton | Nurse Practitioner | 2330 E Meyer Blvd, Suite 411, Kansas City, MO 64132-1132 | 2015-07-28 |
| 1194140483 | Jayson Neil | Neurological Surgery | 2330 E Meyer Blvd, Suite 411, Kansas City, MO 64132-1132 | 2014-02-24 |
| 1902174188 | Erin Colleen Brunkan | Nurse Practitioner | 2330 E Meyer Blvd, Suite 207, Kansas City, MO 64132-1132 | 2011-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407245681 | Fit 2 Fight Training, LLC | Student in an Organized Health Care Education/Training Program | 4228 E 68th Street, Kansas City, MO 64132 | 2015-01-12 |
| 1811309453 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2330 E Meyer Blvd Ste 103, Kansas City, MO 64132 | 2014-06-02 |
| 1255628848 | Jeffrey D Markey | Otolaryngology | 2330 E Meyer Blvd Ste T104, Kansas City, MO 64132 | 2011-07-01 |
| 1699926352 | Andrew Colbert Lueder | Physical Medicine & Rehabilitation | 6400 Prospect #346, Kansas City, MO 64132 | 2008-09-30 |
| 1689835084 | Bangalore V Deepak | Internal Medicine | 6420 Prospect Ave Ste T101, Kansas City, MO 64132 | 2008-06-19 |
| 1659453546 | Kristine D Mall | Nurse Practitioner | 2330 E Meyer Blvd Ste 101, Kansas City, MO 64132 | 2006-10-19 |
| 1659474138 | James W Rosher | Anesthesiology | 1800 East Meyer Blvd, Kansas City, MO 64132 | 2006-09-07 |
| 1306949599 | Irena Dobrowolski | Nurse Anesthetist, Certified Registered | 1800 E Meyer Blvd, Kansas City, MO 64132 | 2006-09-06 |
| 1548299621 | Frederic L Seligson | Specialist | 2340 E. Meyer Blvd, Bldg 2, Suite 382, Kansas City, MO 64132 | 2006-07-01 |
| 1063458610 | Midwest Radiology Inc | Specialist | 2316 East Meyer Blvd., Research Hospital, Kansas City, MO 64132 | 2006-06-21 |
| Find all providers in zip 64132 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
| 1013147206 | Hillary Lane Bownik | Internal Medicine | 4321 Washington St Ste 5600, Kansas City, MO 64111-5936 | 2009-07-22 |
| 1659424810 | Bradley Lawrence Freilich | Internal Medicine | 6675 Holmes Rd Ste 430, Kansas City, MO 64131-1167 | 2007-01-19 |
| 1932213527 | Perry J Culver | Internal Medicine | 4321 Washington, Suite 5600, Kansas City, MO 64111-5905 | 2006-08-19 |
| 1376569673 | Sreenivasa S Jonnalagadda | Internal Medicine | 4321 Washington St Ste 5100, Kansas City, MO 64111-5933 | 2006-07-14 |
| 1164490355 | James Madison Walden Jr. | Internal Medicine | 1300 Nw Briarcliff Pkwy, Suite 150, Kansas City, MO 64150-7104 | 2006-03-14 |
| 1740250778 | Tuba Esfandyari | Internal Medicine | 3901 Rainbow Blvd, Rm 4035, Wescoe Mailstop 1023, Kansas City, KS 66160 | 2006-01-24 |
| 1548266174 | Gregory A Merritt | Internal Medicine | 2330 E Meyer Blvd, Suite 301, Kansas City, MO 64132-1132 | 2005-06-28 |
| 1255337879 | Ivan J Elias | Internal Medicine | 2330 E Meyer Blvd Ste 301, Kansas City, MO 64132-1149 | 2005-06-28 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64132 |
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| 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.