EXCELSIOR SPRINGS PHYSICIANS CLINIC – NPI #1629491105
Family Medicine
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
EXCELSIOR SPRINGS PHYSICIANS CLINIC is a provider located in EXCELSIOR SPRINGS, MO. NPPES has assigned the NPI number 1629491105 to EXCELSIOR SPRINGS PHYSICIANS CLINIC on February 04, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine
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 EXCELSIOR SPRINGS PHYSICIANS CLINIC below.
NPI Profile for
EXCELSIOR SPRINGS PHYSICIANS CLINIC
(more than 12 years ago)
EXCELSIOR SPRINGS, MO 64024-1182 Phone: (816) 629-2623 Fax: (816) 629-2722
EXCELSIOR SPRINGS, MO 64024-1202 Phone: (816) 630-6722 Fax: (816) 630-2471
PHYSICIANS PRACTICE MANAGER
Phone: (816) 629-2623
Identifiers for EXCELSIOR SPRINGS PHYSICIANS CLINIC
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MEDICARE ID# | MO | MA 4388 |
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 |
|---|---|---|
| 207QA0000X - Family Medicine / Adolescent Medicine (Primary) |
MO | R6J43 |
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.