EXCELSIOR SPRINGS PHYSICIANS CLINIC
NPI 1629491105
Family Medicine - Adolescent Medicine in Excelsior Springs, MO
NPI Status: Active since February 04, 2014
Contact Information
1700 RAINBOW BLVD
EXCELSIOR SPRINGS, MO
ZIP 64024
Phone: (816) 629-2623
Fax: (816) 629-2722
- Organization
- Family Medicine
- Adolescent Medicine
About EXCELSIOR SPRINGS PHYSICIANS CLINIC
This page provides the complete NPI Profile along with additional information for Excelsior Springs Physicians Clinic, a primary care provider established in Excelsior Springs, Missouri operating as a Family Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1629491105 assigned on February 2014. The practitioner's primary taxonomy code is 207QA0000X with license number R6J43 (MO). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Jennifer L Boomgarden Crma, Bshsa, Emba (Physicians Practice Manager)
- NPI
- 1629491105
- Provider Name
- EXCELSIOR SPRINGS PHYSICIANS CLINIC
- Entity Type
- Organization
- Location Address
- 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024
- Location Phone
- (816) 629-2623
- Location Fax
- (816) 629-2722
- Mailing Address
- 1010 N JESSE JAMES RD EXCELSIOR SPRINGS, MO 64024
- Mailing Phone
- (816) 630-6722
- Mailing Fax
- (816) 629-2722
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2014
- Last Update Date
- 02-04-2014
- Code Navigator
A primary care provider (PCP) like Excelsior Springs Physicians Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Adolescent Medicine
- Taxonomy Code
- 207QA0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R6J43
- License State
- MO
- Taxonomy Description
- A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA 4388 | OTHER (01) | MO | MEDICARE ID# |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 2 | 9 | 4 | 9 | 1 | 1 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 4 | 9 | 8 | 9 | 2 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 4 + 9 + 8 + 9 + 2 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1629491105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609870310 | EXCELSIOR SPRINGS CITY HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1740387174 | EXCELSIOR SPRINGS CITY HOSPITAL Organization | Medicare Defined Swing Bed Unit | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1013017235 | EXCELSIOR SPRINGS CITY HOSPITAL Organization | Nursing Facility/Intermediate Care Facility | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1689775264 | EXCELSIOR SPRINGS CITY HOSPITAL Organization | Skilled Nursing Facility | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1790954402 | EXCELSIOR SPRINGS CITY HOSPITAL Organization | Anesthesiology | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 629-2790 |
| 1720237779 | MRS. TIFFANY J LUMPKINS MA, CCC-SLP Individual | Speech-Language Pathologist | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1962780072 | MRS. DEBORAH DAWN MCMAHON BCBA Individual | Behavior Analyst | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 629-3668 |
| 1376501684 | MRS. KAREN MYCANKA OTR CHT CLT Individual | Occupational Therapist (Hand) | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 629-2700 |
| 1811232796 | EXCELSIOR SPRINGS PHYSICIAN CLINIC LLC Organization | Family Medicine | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1710300298 | EXCELSIOR SPRINGS PHYSICIANS CLINICS LLC Organization | Internal Medicine | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 629-2623 |
| 1346237120 | CARL E LEDBETTER DO Individual | Family Medicine | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1205296381 | EXCELSIOR SPRINGS HOSPITAL Organization | General Acute Care Hospital (Rural) | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1134589542 | PETISHA DAVIS FNP Individual | Nurse Practitioner (Family) | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1740380955 | EXCELSIOR SPRINGS CITY HOSPITAL Organization | Hospice Care, Community Based | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1497186753 | ETHAN R KENT LSCSW, LCSW Individual | Social Worker | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 629-2732 |
| 1750938320 | BETHANNE F CORDOVA FNP Individual | Nurse Practitioner (Family) | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1447351234 | EXCELSIOR SPRINGS CITY HOSPITAL Organization | Home Health | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1518947696 | MEREDITH ADAIR LEACH M.D. Individual | Emergency Medicine | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1487754149 | EXCELSIOR SPRINGS CITY HOSPITAL Organization | Pharmacy (Clinic Pharmacy) | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 630-6081 |
| 1639387582 | ROSHAN DASARI M.B.B.S, M.D., M.P.H Individual | Psychiatry & Neurology (Psychiatry) | 1700 RAINBOW BLVD EXCELSIOR SPRINGS, MO 64024 (816) 629-2743 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629491105, enumerated in the NPI registry as an "organization" on February 04, 2014
The provider is located at 1700 Rainbow Blvd Excelsior Springs, Mo 64024 and the phone number is (816) 629-2623
This medical organization specializes in Family Medicine with taxonomy code 207QA0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 04, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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