FREDERICK SCOTT DATTEL (NPI# 1912008525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912008525 |
| Entity Type | Individual |
| Full Name | FREDERICK SCOTT DATTEL |
| Credential | M.D. |
| Practice Address |
1004 Carondelet Dr Suite 330 Kansas City MO 64114-4802 |
| Practice Telephone | 8169416400 |
| Practice Fax Number | 8169416404 |
| Mailing Telephone | 8169416400 |
| Mailing Fax Number | 8169416404 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
100376 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100281970C | 05 | |
| MO | 208124610 | 05 |
| Street Address |
1004 CARONDELET DR SUITE 330 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163035 | Colleen M Maynard | Obstetrics & Gynecology | 1004 Carondelet Dr, Ste 407, Kansas City, MO 64114-4836 | 2005-06-13 |
| 1881041549 | Kansas City Family Allergy,llc | Allergy & Immunology | 1004 Carondelet Dr, Suite 335, Kansas City, MO 64114-4801 | 2016-05-23 |
| 1700277589 | Prime Healthcare Services - Kansas City LLC | Pharmacy | 1004 Carondelet Dr, Suite 120, Kansas City, MO 64114-4801 | 2015-02-14 |
| 1972912152 | Callie Labeth | Nurse Practitioner | 1004 Carondelet Dr, Suite 410, Kansas City, MO 64114-4801 | 2014-08-12 |
| 1851651285 | Putul Murarka Allen | Pediatrics | 1004 Carondelet Dr, Ste 310, Kansas City, MO 64114-4801 | 2012-05-18 |
| 1093005423 | Becky Graham, D.o., P.C. | Obstetrics & Gynecology | 1004 Carondelet Dr, Suite 460, Kansas City, MO 64114-4801 | 2011-04-19 |
| 1649408287 | Cradle Thru College Care, LLC | Pediatrics | 1004 Carondelet Dr, Suite 310, Kansas City, MO 64114-4801 | 2009-06-22 |
| 1245474386 | Vanessa N. Johnson | Physician Assistant | 1004 Carondelet Dr, Suite 330, Kansas City, MO 64114-4801 | 2009-04-20 |
| 1952542219 | Thomas Lowell Schroder | Audiologist | 1004 Carondelet Dr, Suite 450, Kansas City, MO 64114-4801 | 2009-03-17 |
| 1700062221 | Jane E Jahnke Stewart Do | Family Medicine | 1004 Carondelet Dr, Ste 430, Kansas City, MO 64114-4801 | 2008-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1962548883 | Kansas University Physicians Inc | Pediatrics | 2026 Hc Miller, Mail Stop 4004 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1538429618 | Paola Luna | Pediatrics | 6501 E 87th St, Kansas City, MO 64138-2732 | 2012-05-22 |
| 1851577027 | Romina Loreley Barral | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-01-17 |
| 1568642700 | Claire Pawlak Morello | Pediatrics | 4605 Paseo Blvd, Kansas City, MO 64110-1825 | 2007-11-05 |
| 1619078912 | Kansas City Pediatrics, LLC | Pediatrics | 1004 Carondelet Dr, Suite 330, Kansas City, MO 64114-4802 | 2006-09-26 |
| 1215981527 | Laurie Lee Hornberger | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-20 |
| 1225082837 | Daryl A Lynch | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-05-19 |
| 1942270012 | Timothy Arlen Roberts | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2006-01-23 |
| 1831191386 | William Paul Adelman | Pediatrics | 3101 Broadway Blvd, Kansas City, MO 64111-2659 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366670796 | Fernando Fernandez, M. D. PC | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2009-06-24 |
| 1073733069 | Kelly Jo Meier | Pediatrics | 2719 E 32nd St, Joplin, MO 64804-3131 | 2007-05-01 |
| 1114048154 | Affton Medical Clinic | Pediatrics | 59 Grasso Plz, Saint Louis, MO 63123-3107 | 2007-04-03 |
| 1851417794 | Shari L Smith | Pediatrics | 200 Castle Drive, Joplin, MO 64804-9115 | 2007-03-22 |
| 1811076763 | Nedra Diann Twillie | Pediatrics | 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 | 2006-11-03 |
| 1740209162 | Nancy Elizabeth Holmes | Pediatrics | 8888 Ladue Road, Suite 130, St. Louis, MO 63124 | 2006-07-18 |
| 1194770883 | Ann A Gassman | Pediatrics | 503 N Scott Ave, Belton, MO 64012-1730 | 2006-05-23 |
| 1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
| 1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
| 1679570618 | Carolyn Ann Ellsworth | Pediatrics | 312 N Kentucky St, West Plains, MO 65775-2073 | 2005-07-06 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
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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.