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JEREMY T AFFOLTER MD NPI 1952516429


NPI Information

NPI: 1952516429
Provider Name: JEREMY T AFFOLTER, MD
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

Organization: DELL CHILDREN'S MEDICAL GROUP

PECOS Registration: Yes

Address:
2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108
Phone: (816) 234-3000
Get Directions

Jeremy T Affolter, MD is a pediatric critical care medicine pediatrics in Kansas City, MO with 22 years of experience. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Jeremy T Affolter, MD NPI is 1952516429. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2002

The provider's business location address is:

2401 GILLHAM RD
KANSAS CITY, MO
ZIP 64108-619
Phone: (816) 234-3000
Fax: (816) 302-9939

The NPI 1952516429 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 5/10/2007 and was last updated on 10/21/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsM7810TEXASNo
22080P0203XPediatricsPediatric Critical Care Medicine56007WISCONSINNo
32080P0202XPediatricsPediatric Cardiology56007WISCONSINNo
42080P0203XPediatricsPediatric Critical Care Medicine2015010977MISSOURIYes
52080P0202XPediatricsPediatric Cardiology2015010977MISSOURINo
62080P0202XPediatricsPediatric Cardiology0438091KANSASNo
72080P0203XPediatricsPediatric Critical Care Medicine0438091KANSASNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18AL508OTHERTEXASBCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.