Organization Active NPI

R.D. Blim & E.E. Smith, M.D.'S Inc

  • Pediatrics Physician
  • Kansas City, MO
National Provider Identifier
1629293675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
R.D. BLIM & E.E. SMITH, M.D.'S INC
Doing business as
PEDIATRIC ASSOCIATES
Practice address
4400 Broadway St
Suite 200
Kansas City, MO 64111-3498
Phone
(816) 561-8100
Fax
(816) 561-8154
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Christy Lynn Cain
Title
Supervisor
Phone
(816) 746-8190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4400 Broadway St
Suite 200
Kansas City, MO 64111-3498

Mailing address

4400 Broadway St
Suite 200
Kansas City, MO 64111-3498
Phone (816) 561-8100

Other identifiers 1

IdentifierTypeStateIssuer
01419022OtherMOBCBS GROUP ID NUMBER

Other names 1

  • PEDIATRIC ASSOCIATES Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2125806Childrens Mercy-Pediatric Associates, Inc4400 Broadway #206, Kansas City, MO 64111Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

4400 Broadway Blvd
Ste 200
Kansas City, MO 64111
Phone (816) 561-8100

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629293675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-561-8100",
            "fax_number": "816-561-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BROADWAY ST",
            "address_2": "SUITE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113498",
            "telephone_number": "816-561-8100",
            "fax_number": "816-561-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.D. BLIM & E.E. SMITH, M.D.'S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "816-746-8190",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID NUMBER",
            "identifier": "01419022",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.