Individual
CHRIS JAMES MAEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 BROADWAY BLVD, KANSAS CITY, MO 64111-3315
(816) 931-2105
(816) 931-0509
Mailing address
4440 BROADWAY BLVD, KANSAS CITY, MO 64111-3315
(816) 931-2105
(816) 931-0509
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
R8C98
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117180A
—
KS
01
—
13910016
MO BLUE SHIELD
MO
05
—
201852910
—
MO
01
—
742006020
TAX ID #
MO
Enumeration date
07/15/2005
Last updated
03/25/2026
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