| 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 | Pediatrics - Pediatric 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 |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 04-22504 (Kansas) | Secondary |
| 2080P0201X | Pediatrics - Pediatric 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 |
Ryan A Romans, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Amanda Finn, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8781 N Platte Purchase Dr, Kansas City, MO 64155 Phone: 816-587-3200 Fax: 816-587-7644 | |
Samira Naime, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 Fax: 816-302-9939 | |
Madalyn Nicole Singleton, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3000 | |
Delsie Asmarah Filardi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-983-6763 Fax: 816-821-3081 | |
Gerald M Woods, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3265 | |
Dr. Gangaram Ganpatrao Akangire, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 Gillham Rd, Kansas City, MO 64108 Phone: 816-234-3593 |