Active NPI
R.D. Blim & E.E. Smith, M.D.'S Inc
- Pediatrics Physician
- Kansas City, MO
National Provider Identifier
1629293675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01419022 | Other | MO | BCBS GROUP ID NUMBER |
Other names 1
- PEDIATRIC ASSOCIATES
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 |
|---|---|---|---|
| 26D2125806 | Childrens Mercy-Pediatric Associates, Inc | Certificate of waiver | Feb 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.