Active NPI
Pediatric Urgent Care LLC
- Urgent Care Clinic/Center
- Saint Joseph, MO
National Provider Identifier
1497595854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PEDIATRIC URGENT CARE LLC
- Practice address
- 1918 N Woodbine Rd
Saint Joseph, MO 64506-2437 - Phone
- (816) 396-8855
- Fax
- (816) 396-6123
- NPI assigned
- May 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sibyl Downing, MD
- Title
- Sole Owner
- Phone
- (816) 396-8855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1918 N Woodbine Rd
Saint Joseph, MO 64506-2437
Mailing address
1918 N Woodbine Rd
Saint Joseph, MO 64506-2437
Phone (816) 396-8855
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2317494 | Pediatric Urgent Care, LLC | Certificate of waiver | Jan 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Saint Joseph, MO
- NPI 1093744948
-
- Pediatrics Physician
- Saint Joseph, MO
- NPI 1043275100
-
- Pediatrics Physician
- Kansas City, KS
- NPI 1265605513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724889600000",
"number": "1497595854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 N WOODBINE RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062437",
"telephone_number": "816-396-8855",
"fax_number": "816-396-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 N WOODBINE RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062437",
"telephone_number": "816-396-8855",
"fax_number": "816-396-6123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A",
"authorized_official_last_name": "DOWNING",
"authorized_official_first_name": "SIBYL",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "816-396-8855",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.