Independence Pediatrics PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

INDEPENDENCE PEDIATRICS PC

Practice address

17500 Medical Center Pkwy
Suite 5
Independence, MO 64057

Phone

(816) 373-1111

Fax

(816) 378-9222

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Fariborz, LPN

Title

Office Manager

Phone

(816) 373-1142

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Independence Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Independence Pediatrics, P.C. Inc.

  • Specialist
  • Independence, MO
  • NPI 1962532283
  NPD tax ID

Locations

Practitioners 2

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

• Sheela Ananth, M.D

  • Pediatrics Physician
  • Independence, MO
  • NPI 1285681460
  NPD (past)
• Weldon Harris, M.D.

  • Pediatrics Physician
  • Independence, MO
  • NPI 1548201106
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1992964845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 MEDICAL CENTER PKWY",
            "address_2": "SUITE 5",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-373-1111",
            "fax_number": "816-378-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 MEDICAL CENTER PKWY",
            "address_2": "SUITE 5",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-373-1111",
            "fax_number": "816-378-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "FARIBORZ",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-373-1142",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33997011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independence Mo Consulting LLC
• Independence Neurosurgery Services LLC
• Independence Operations LLC
• Independence Orthodontics, LLC
• Independence Pediatric Dentistry LLC
• Independence Pediatrics, P.C. Inc.
• Independence Regional Medical Group LLC
• Independence School District
• Independence School District
• Independence Surgical Clinic, Inc.

• Urgent Care Clinic/Center in Independence, MO
• Providers in Independence, MO by specialty
• Urgent Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.