PEDIATRIX (NPI# 1417299157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417299157 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX |
| Practice Address |
4401 Wornall Road Saint Luke's Hospital Kansas City MO 64111 |
| Mailing Address |
4401 Wornall Road Kansas City MO 64111 |
| Practice Telephone | 8169322000 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | CAR BARBARA (NEONATOLOGY DEVISION DIRECTOR) |
| Authorized Official Telephone | 8169322000 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 2080N0001X | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Pediatrix Cardiology Acquisition Company Inc. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Washington State Corporations | PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Colorado Business Entities | PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Alabama Business Registrations | Pediatrix Medical Group of Florida, Inc. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Indiana Business Entities | PEDIATRIX MEDICAL GROUP OF INDIANA, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Oregon Corporations, Companies and Business Names | PEDIATRIX MEDICAL GROUP OF OREGON | 1301 Concord Terr, Sunrise, FL 33323 |
| Virginia Business Entities | Pediatrix Medical Group of the Mid-Atlantic P.C. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Washington State Corporations | PEDIATRIX MEDICAL GROUP OF WASHINGTON, INC., P.S. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Virginia Business Entities | Pediatrix Medical Group P.C. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Virginia Business Entities | Pediatrix Medical Group Regional Inc. | 1301 Concord Ter, Sunrise, Florida 33323 |
| Street Address |
4401 WORNALL ROAD SAINT LUKE'S HOSPITAL |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660605 | Lin X. Wang | Nurse Anesthetist, Certified Registered | 4401 Wornall Road, Kansas City, MO 64111 | 2005-12-22 |
| 1306206677 | Mara Wear | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-03-01 |
| 1609235506 | Renae Brines | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-19 |
| 1275991523 | Heather Boyd | Nurse Practitioner | 4401 Wornall Road, Kansas City, MO 64111 | 2016-02-02 |
| 1346660248 | Aunya Marie Cameron | Internal Medicine | 4401 Wornall Road, Kansas City, MO 64111 | 2014-04-18 |
| 1295155257 | Jessica E.s. Sturgess | Internal Medicine | 4401 Wornall Road, Cv Research 9th Floor, Kansas City, MO 64111 | 2014-04-17 |
| 1548498090 | Jamie Lynn Rosterman | Pediatrics | 4401 Wornall Road, Suite 2710, Kansas City, MO 64111 | 2009-06-23 |
| 1073758322 | Beth D. Nichols | Registered Nurse | 4401 Wornall Road, Kansas City, MO 64111-3220 | 2008-12-15 |
| 1902083454 | Amy Davis Brookshire | Registered Nurse | 4401 Wornall Road, Kansas City, MO 64111 | 2008-01-28 |
| 1104023084 | Suparna Nanua | Pathology | 4401 Wornall Road, Pathology Department, Kansas City, MO 64111-3220 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992183172 | Children's Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2015-05-08 |
| 1669899639 | Ricole Shafer | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-03-27 |
| 1568723765 | Children's Mercy Hospitals & Clinics | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-06-04 |
| 1346518016 | Children's Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2011-12-08 |
| 1366751950 | The Children's Mercy Hospital | General Acute Care Hospital | 3101 Broadway St, Kansas City, MO 64111-2659 | 2010-09-29 |
| 1427386960 | Childrens Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-11-20 |
| 1366515488 | Children's Mercy Hospital | General Acute Care Hospital | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-11-16 |
| 1538252515 | Joseph Kanarek | General Acute Care Hospital | 1010 Carondelet Dr, Suite 212, Kansas City, MO 64114-4859 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425289 | St Louis Children's Hospital | General Acute Care Hospital | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-03-12 |
| 1679876734 | St. John's Pediatric Services | General Acute Care Hospital | 621 S New Ballas Rd, # 2003b, Saint Louis, MO 63141-8232 | 2010-12-13 |
| 1528375417 | Saint Louis Childrens Hospital | General Acute Care Hospital | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-09-13 |
| 1699087601 | Ssm Cardinal Glennon Children's Hospital | General Acute Care Hospital | 1465 S Grand Blvd, Diet Office, Saint Louis, MO 63104-1003 | 2010-07-07 |
| 1508181777 | St. Louis Children's Hospital | General Acute Care Hospital | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-03-31 |
| 1699002527 | Cardinal Glennon Children's Hospital | General Acute Care Hospital | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-11-13 |
| 1255664645 | Ssm Cardinal Glennon Children's Medical Center | General Acute Care Hospital | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-09-16 |
| 1518181536 | St Louis Childrens Hospital | General Acute Care Hospital | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-12 |
| 1063535581 | Anne Clair Bisch | General Acute Care Hospital | 3165 Mckelvey Rd, Suite 110, Bridgeton, MO 63044-2550 | 2007-04-09 |
| 1356462493 | St. John's Mercy Child Development Center | General Acute Care Hospital | 641 N New Ballas Rd, Saint Louis, MO 63141-6713 | 2007-04-03 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.