Active NPI
Pawsat & Maeda MD PC
- Orthopaedic Surgery Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PAWSAT & MAEDA MD PC
- Practice address
- 4320 Wornall Rd Ste 312
Kansas City, MO 64111-3245 - Phone
- (816) 931-2105
- Fax
- (816) 931-0509
- NPI assigned
- Jun 1, 2007
- Last updated
- Jul 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chris J Maeda
- Title
- Owner
- Phone
- (816) 931-2105
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
4320 Wornall Rd Ste 312
Kansas City, MO 64111-3245
Mailing address
4320 Wornall Rd Ste 312
Kansas City, MO 64111-3245
Phone (816) 931-2105
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200008836 | Other | MEDICARE RAILROAD | |
| 100117180A | Medicaid | KS | |
| 502548100 | Medicaid | MO | |
| 07709017 | Other | MO | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4320 Wornall Rd
Ste 432
Kansas City, MO 64111
Phone (816) 931-2105
4440 Broadway Blvd
Kansas City, MO 64111
Phone (816) 531-0930
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Medicine Physician
- Kansas City, MO
- NPI 1760425508
-
- Specialist
- Kansas City, MO
- NPI 1225231970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595462400000",
"number": "1598967655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 WORNALL RD STE 312",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113245",
"telephone_number": "816-931-2105",
"fax_number": "816-931-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WORNALL RD STE 312",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641113245",
"telephone_number": "816-931-2105",
"fax_number": "816-931-0509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAWSAT & MAEDA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A",
"authorized_official_last_name": "MAEDA",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-931-2105",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200008836",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100117180A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502548100",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "07709017",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 23, 2020; 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.