NPIMap

Organization Active NPI

Little Tree Pediatric Urgent Care LLC

  • Urgent Care Clinic/Center
  • Columbia, MO
National Provider Identifier
1992418461
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LITTLE TREE PEDIATRIC URGENT CARE LLC
Practice address
206 Corporate Lake Dr
Columbia, MO 65203-7172
Phone
(573) 814-1170
Fax
(573) 530-1037
NPI assigned
Dec 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Adam Wheeler, MDNPI 1891803086
Title
Owner
Phone
(573) 814-1170

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

206 Corporate Lake Dr
Columbia, MO 65203-7172

Mailing address

206 Corporate Lake Dr
Columbia, MO 65203-7172

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
26D2276006Little Tree Pediatric Urgent Care LLC206 Corporate Lake Drive, Columbia, MO 65203Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory

Locations

206 Corporate Lake Dr
Columbia, MO 65203
Phone (573) 814-1170

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1992418461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CORPORATE LAKE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CORPORATE LAKE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037172",
            "telephone_number": "573-814-1170",
            "fax_number": "573-530-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE TREE PEDIATRIC URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-814-1170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "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 Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.