Robert Sturdevant, DO Pediatric Care, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

105957 Issued in MO

Legal business name

ROBERT STURDEVANT, DO PEDIATRIC CARE, PC

Practice address

811 Westchester Ave
Harrisonville, MO 64701

Phone

(816) 887-1987

NPI assigned

Jul 3, 2006

Last updated

Mar 3, 2008By 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

Dr. Robert Brian Sturdevant, DO

Title

President

Phone

(816) 887-1987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1740219476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WESTCHESTER AVE",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "64701",
            "telephone_number": "816-887-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WESTCHESTER AVE",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "64701",
            "telephone_number": "816-887-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT STURDEVANT, DO PEDIATRIC CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "STURDEVANT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-887-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "105957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana R Raynard, DPT
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• Allie Rogers
• Kendra Rose, APRN
• Krystin L.G. Ryan, PLPC
• Brandi Jo Samborski, PTA
• Alexandra Marie Samuelson, OD

• Primary Care Clinic/Center in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.