CHILDREN'S MERCY-COCKERELL AND MCINTOSH PEDIATRICS, INC (NPI# 1811528656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811528656 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S MERCY-COCKERELL AND MCINTOSH PEDIATRICS, INC |
| Practice Address |
205 Nw R D Mize Rd Ste 304 Blue Springs MO 64014-2520 |
| Mailing Address |
2401 Gillham Rd Attn: Provider Enrollment Dept Kansas City MO 64108-4619 |
| Practice Telephone | 8162284770 |
| Mailing Telephone | 8167015201 |
| Mailing Fax Number | 8163029939 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ROBERT D. FINUF II (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 8167015200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
205 NW R D MIZE RD STE 304 |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014-2520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| Find all providers in zip 64014 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076278 | Bryan L Phillips | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2005-07-08 |
| 1740287549 | Charles Frederick Cockerell | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1528329083 | Andrew Charles Huss | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2012-05-31 |
| 1447425962 | Cynthia Marquelle Dean | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2008-04-25 |
| 1972706547 | Thomas Anthony Seck | Pediatrics | 205 Nw Rd Mize Rd, Suite 304, Blue Springs, MO 64014-2515 | 2007-06-08 |
| 1588662282 | Stacey Leigh Sharpe | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1093713703 | Cindy L Kirby-diaz | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1730187402 | Michele C Mcintosh | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1942208624 | Mark Alan Mozer | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| 1982602678 | Joseph Roy Vanbiber | Pediatrics | 205 W R D Mize Rd, Suite 304, Blue Springs, MO 64014-2518 | 2005-07-07 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
Please comment or provide details below to improve the information on CHILDREN'S MERCY-COCKERELL AND MCINTOSH PEDIATRICS, INC.
| 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.