Encore Pediatrics of Missouri, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ENCORE PEDIATRICS OF MISSOURI, LLC

Practice address

221 Bolivar St
Jefferson City, MO 65101-1572

Phone

(866) 925-8505

NPI assigned

Nov 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Cotcher

Title

Evp of Pediatrics

Phone

(248) 672-2593

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1255048062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD STE 290",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315635",
            "telephone_number": "216-202-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BOLIVAR ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651011572",
            "telephone_number": "866-925-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PEDIATRICS OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "COTCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EVP OF PEDIATRICS",
        "authorized_official_telephone_number": "248-672-2593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy K Ellis-Ordway, MSW LCSW
• Wendy M Ellis, RN
• Chelsi Lynne Emerson
• Jared Emery, D.O.
• Hildegard C. Emslander, M.D.
• Benjamin Engelbrecht, PT, DPT
• Sara Bess Enochs, CRNA
• Sostanie Takota Enoru, M.D.
• Gustave Epple
• Lenora Mae Epple, DO

• Behavior Analyst in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.