Cockerell & McIntosh Pediatric Urgent Care PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC

Practice address

11200 E Winner Rd
Independence, MO 64052-3964

Phone

(816) 252-9850

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Bryan E Wood

Title

General Manager

Phone

(816) 228-4770

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1437180171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NW R D MIZE RD",
            "address_2": "SUITE 304",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "64014",
            "telephone_number": "816-228-4770",
            "fax_number": "816-228-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 E WINNER RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640523964",
            "telephone_number": "816-252-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "816-228-4770"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "6606969",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS ID",
            "identifier": "202402",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD ID",
            "identifier": "377880",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "4430403",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinical Laboratory Solutions, LLC (Dba Prevential)
• Clint Thomas LLC
• Daniel Scott Clodfelter, DC
• Melissa Coats, LAC
• Alexandra Cobb
• Trisha Anne Cockrell, FNP-C
• Scott Coffman, DC
• Diane M Cole, SLP
• Kyleigh Justine Cole
• Sasha Coleman-Baynham, RBT

• Urgent Care Clinic/Center in Independence, MO
• Providers in Independence, MO by specialty
• Urgent Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.