DR. MARY ELIZABETH MOFFATT M.D. NPI 1639123946

NPI Information

NPI: 1639123946
Provider Name: DR. MARY ELIZABETH MOFFATT, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Organization: CHILDREN'S MERCY HOSPITAL

PECOS Registration: Yes

Address:
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
Phone: (813) 234-3000
Get Directions

DR. Mary Elizabeth Moffatt, M.D. is a pediatric emergency medicine pediatrics in Kansas City, MO with 26 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Mary Elizabeth Moffatt, M.D. NPI is 1639123946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108-619
Phone: (813) 234-3000

The NPI 1639123946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	04-31046	KANSAS	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	2002013913	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H74754	MEDICARE UPIN
2	269C130	MEDICARE ID-TYPE UNSPECIFIED
3	205981202	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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