MEDICARE: MICHAEL S FEDOTIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	R3526	MO
2	207RG0100X	Gastroenterology Physician	14275	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	100003018	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447256037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S FEDOTIN MD

Provider Business Mailing Address
First Line	:	2330 E MEYER BLVD
Second Line	:	SUITE 301
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1132
Country	:	US
Telephone Number	:	816-333-5424
Fax Number	:	816-822-0870

Provider Business Practice Location Address
First Line	:	2330 E MEYER BLVD
Second Line	:	SUITE 301
City	:	KANSAS CITY
State	:	MO
Zip	:	64132-1132
Country	:	US
Telephone Number	:	816-333-5424
Fax Number	:	816-822-0870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	01/25/2016

Similar Medicare Providers

1548266174 — GREGORY A MERRITT MD
Practice Location Address:

2330 E MEYER BLVD , SUITE 301
KANSAS CITY, MO
64132-1132

Practice Phone: 816-333-5424
Practice Fax: 816-822-0870

1114924578 — MICHAEL J CONNOR MD
Practice Location Address:

2330 E MEYER BLVD , SUITE 301
KANSAS CITY, MO
64132-1132

Practice Phone: 913-234-7600
Practice Fax: 816-361-5775

1700877792 — SAMUEL D HOEPER JR. MD
Practice Location Address:

2330 E MEYER BLVD , SUITE 101
KANSAS CITY, MO
64132-1132

Practice Phone: 816-276-9800
Practice Fax: 816-363-4393

1902897903 — JAMES A MALISZEWSKI MD
Practice Location Address:

2330 E MEYER BLVD , STE 101
KANSAS CITY, MO
64132-1132

Practice Phone: 816-276-9800
Practice Fax: 816-276-9801

1780666818 — JONATHAN S SZETO MD
Practice Location Address:

2330 E MEYER BLVD , SUITE 101
KANSAS CITY, MO
64132-1132

Practice Phone: 816-276-9800
Practice Fax: 816-276-9801

1073585337 — DR. JONATHAN D CHILTON M. D.
Practice Location Address:

2330 E MEYER BLVD , SUITE T411
KANSAS CITY, MO
64132-1132

Practice Phone: 816-363-2500
Practice Fax: 816-363-8741

Directions to “ MICHAEL S FEDOTIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.