COCKERELL & MCINTOSH PEDIATRICS PC – NPI #1124190632
Clinic/Center

COCKERELL & MCINTOSH PEDIATRICS PC is an AHC clinic located in BLUE SPRINGS, MO. NPPES has assigned the NPI number 1124190632 to COCKERELL & MCINTOSH PEDIATRICS PC on November 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 15 years ago on Jan 31, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COCKERELL & MCINTOSH PEDIATRICS PC below.

NPI Profile for
COCKERELL & MCINTOSH PEDIATRICS PC

NPI Number
1124190632
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COCKERELL & MCINTOSH PEDIATRICS PC
Primary location
205 NW RD MIZE RD
SUITE 304
BLUE SPRINGS, MO 64014-2518
Phone: (816) 228-4770 Fax: (816) 228-1156
Mailing address
205 NW R D MIZE RD
SUITE 304
BLUE SPRINGS, MO 64014-2518
Phone: (816) 228-4770 Fax: (816) 228-1156
Organization Subpart
No
Authorized Official
BRYAN WOOD
GENERAL MANAGER
Phone: (816) 228-4770
Updated
Identifiers

Identifiers for COCKERELL & MCINTOSH PEDIATRICS PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS GROUP NUMBERMO11862021
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.