NPIMap

Organization Active NPI

Ferns, Matile, Perryman & Moore, M.D.'S, P.a.

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
National Provider Identifier
1063457141
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FERNS, MATILE, PERRYMAN & MOORE, M.D.'S, P.A.
Practice address
4400 Broadway St
Suite 302
Kansas City, MO 64111-3498
Phone
(816) 931-9344
Fax
(816) 931-4168
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Amy Carter, MDNPI 1124121629
Title
President
Phone
(816) 931-9344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4400 Broadway St
Suite 302
Kansas City, MO 64111-3498

Mailing address

4400 Broadway St
Suite 302
Kansas City, MO 64111-3498
Phone (816) 931-9344

Other names 1

  • Ferns, Matile, Smith & Perryman, M.D.'s, P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000801 MO Part B Supplier - Clinic/Group Practice 9830137041 Receives reassigned benefits from 10 practitioners
Practice locations: Kansas City, MO

National Provider Directory

National Provider Directory

Locations

9225 Ward Pkwy
Fl 2
Kansas City, MO 64114

4400 Broadway Blvd
Fl 3
Kansas City, MO 64111

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1063457141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 302",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-931-9344",
            "fax_number": "816-931-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 302",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-931-9344",
            "fax_number": "816-931-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNS, MATILE, PERRYMAN & MOORE, M.D.'S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-931-9344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ferns, Matile, Smith & Perryman, M.D.'s, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Ferns, Matile, Smith & Perryman, M.D.'s, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.