| Dr Jay Matthew Portnoy, MD | |
|
2401 Gillham Rd, Kansas City, MO 64108-4619 | |
| (816) 234-3097 | |
| (816) 346-1301 |
| Full Name | Dr Jay Matthew Portnoy |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 2401 Gillham Rd, Kansas City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568429066 | NPI | - | NPPES |
| 202178406 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | R5E99 (Missouri) | Primary |
| Entity Name | The Childrens Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20031118000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay Matthew Portnoy, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 234-3097 | Dr Jay Matthew Portnoy, MD 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 234-3097 |
Christian C Willingham, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4401 Wornall Rd, Kansas City, MO 64111 Phone: 816-932-2171 | |
Salman Abdullah Aljubran, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3101 Broadway Blvd, Kansas City, MO 64111 Phone: 816-960-8885 Fax: 816-960-8888 | |
Dr. Zachary David Jacobs, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4440 Broadway Blvd, Kansas City, MO 64111 Phone: 816-531-0930 Fax: 816-531-2807 | |
Aarti Pandya, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Dr. Haroon Khalid, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 200 Ne 54th St Unit 120, Kansas City, MO 64118 Phone: 816-453-7771 Fax: 816-452-7980 | |
Dr. Bridgette L Jones, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3097 |