Excelsior Springs Pediatric Clinic
Pediatrics
Excelsior Springs Pediatric Clinic is a Excelsior Springs, Missouri based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1006 N Jesse James Rd, Ste 2, Excelsior Springs, Missouri - 64024-1202. They can be contacted on phone at
816-637-0117 and fax number 816-637-0814.
NPI number (Unique professional ID) for Excelsior Springs Pediatric Clinic is
1568750420 which was assigned by NPPES on 13 Jul, 2011 and it was last updated on 13 Jul, 2011.
Excelsior Springs Pediatric Clinic license number is
R6H00 for Pediatrics (208000000X) in Missouri.
Excelsior Springs Pediatric Clinic is a pediatrician who 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.
Complete Profile:
Excelsior Springs Pediatric Clinic basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Excelsior Springs Pediatric Clinic |
|---|
Business Address:
Excelsior Springs Pediatric Clinic address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1006 N Jesse James Rd, Ste 2
Excelsior Springs, MO, 64024-1202
United States |
|---|
| Phone Number : | 816-637-0117 |
|---|
| Fax Number : | 816-637-0814 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568750420 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 13 Jul, 2011 |
|---|
| Last Updated On : | 13 Jul, 2011 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Kellil Bowman |
|---|
| Official Title or Position : | OFFICE MANAGER |
|---|
| Phone Number : | 816-637-0117 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Excelsior Springs Pediatric Clinic are as mentioned. Primary taxonomy code for Excelsior Springs Pediatric Clinic is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363LF0000X | Nurse Practitioner Family | No | 2011006205 | MO |
| 208000000X | Pediatrics | Yes | R6H00 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Excelsior Springs Pediatric Clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 202518809 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1006 N Jesse James Rd, Ste 2
Excelsior Springs, MO, 64024-1202
United States |
|---|
| Phone Number : | 816-637-0117 |
|---|
| Fax Number : | 816-637-0814 |
|---|
Business Location:
Patients can refer following map for directions to
Excelsior Springs Pediatric Clinic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.