Como Cubs Pediatrics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2010027808 Issued in MO

Legal business name

COMO CUBS PEDIATRICS

Practice address

201 W Broadway
Suite 4a
Columbia, MO 65203

Phone

(573) 443-0937

Fax

(573) 875-7948

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Harmon

Title

Business Manager

Phone

(573) 443-0937

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tina Brockman, MD

  • Pediatrics Physician
  • Columbia, MO
  • NPI 1316049224
  NPD (past)
• Sally Katherine Lepper, APRN-FNP

  • Family Nurse Practitioner
  • Columbia, MO
  • NPI 1851982151
  NPD (past)
• John Vernon Wilson, M.D.

  • Pediatrics Physician
  • Columbia, MO
  • NPI 1720275506
  NPD (past)

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1447629829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY",
            "address_2": "SUITE 4A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033842",
            "telephone_number": "573-443-0937",
            "fax_number": "573-875-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BROADWAY",
            "address_2": "SUITE 4A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "573-443-0937",
            "fax_number": "573-875-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMO CUBS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "573-443-0937"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2010027808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lecel E. Combs, PD
• Margaret Kenan Comford, MSW
• Community Hospices of America, LLC
• Community Hospices of America, LLC (Hospice Compassus)
• Como Compounding LLC
• Como Dental Associates LLC (Dentistry By Design)
• Como Lab Services, L.L.C.
• Como Pediatric Dentistry LLC
• Compass Chiropractic and Wellness LLC
• Compass Health, Inc

• Clinic/Center in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.