ROLLA CHILDREN'S CLINIC, P.C.
NPI 1780852384
Pediatrics in Rolla, MO

NPI Status: Active since February 15, 2008

Contact Information

1050 W 10TH ST
SUITE 480
ROLLA, MO
ZIP 65401
Phone: (573) 364-1900
Fax: (573) 364-7365

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  • Organization
  • Pediatrics

About ROLLA CHILDREN'S CLINIC, P.C.

This page provides the complete NPI Profile along with additional information for Rolla Children's Clinic, P.c., a pediatrician established in Rolla, Missouri operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1780852384 assigned on February 2008. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 18 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 Mr. Robert Bruce Russell (Manager)

NPI
1780852384
Provider Name
ROLLA CHILDREN'S CLINIC, P.C.
Entity Type
Organization
Location Address
1050 W 10TH ST SUITE 480 ROLLA, MO 65401
Location Phone
(573) 364-1900
Location Fax
(573) 364-7365
Mailing Address
1050 W 10TH ST SUITE 480 ROLLA, MO 65401
Mailing Phone
(573) 364-1900
Mailing Fax
(573) 364-7365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2008
Last Update Date
02-15-2008
Code Navigator

A pediatrician like Rolla Children's Clinic, P.c. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT BRUCE RUSSELL

Authorized Official Title
MANAGER
Authorized Official Phone
(573) 364-1900

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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.
1780852384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601654316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 6 + 5 + 4 + 3 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1780852384 is valid because the calculated check digit 4 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
1205855715 EDWARD A BRUNS DO
Individual
Internal Medicine (Gastroenterology)1050 W 10TH ST STE 350
ROLLA, MO 65401
(573) 458-3350
1952318982DR. JAMES M DAVISON D.O.
Individual
Obstetrics & Gynecology1050 W 10TH ST
ROLLA, MO 65401
(573) 364-9000
1508902354 AMY I. WHITAKER FNP
Individual
Nurse Practitioner (Family)1050 W 10TH ST
ROLLA, MO 65401
(573) 364-7545
1366581852 CHARLOTTE SEKHON DPM
Individual
Podiatrist (Foot Surgery)1050 W 10TH ST
ROLLA, MO 65401
(573) 426-6239
1013100866DR. DONALD L JAMES DO
Individual
Internal Medicine1050 W 10TH ST
ROLLA, MO 65401
(573) 364-7545
1285944942 TEDDY ANN BYLER RDH
Individual
Dental Hygienist1050 W 10TH ST STE 520
ROLLA, MO 65401
(573) 426-2233
1093012890PCRMC MEDICAL GROUP INC
Organization
Podiatrist1050 W 10TH ST STE 420
ROLLA, MO 65401
(573) 458-3425
1669692158MRS. DAWN MICHELLE BUCHANAN RN, MSN, NP-C
Individual
Nurse Practitioner (Family)1050 W 10TH ST SUITE 350
ROLLA, MO 65401
(573) 458-3350
1093142531 MEREDITH LEIGH NAPIERALA CPNP
Individual
Nurse Practitioner (Pediatrics)1050 W 10TH ST
ROLLA, MO 65401
(573) 458-8899
1528153780 THEODORE NMI KORECKIJ MD
Individual
Orthopaedic Surgery1050 W 10TH ST
ROLLA, MO 65401
(573) 364-5633
1518962570DR. DONALD JAMES MCMULLIN D.O.
Individual
Internal Medicine1050 W 10TH ST
ROLLA, MO 65401
(573) 364-9000
1043203748 MIGNON M MAKOS MD
Individual
Psychiatry & Neurology (Neurology)1050 W 10TH ST
ROLLA, MO 65401
(573) 364-9000
1518957778DR. MATHEW S. AUSMUS DDS
Individual
Dentist (Pediatric Dentistry)1050 W 10TH ST
ROLLA, MO 65401
(573) 426-2233
1083684179 JAMES T BURDETT MD
Individual
Pediatrics1050 W 10TH ST
ROLLA, MO 65401
(573) 364-9000
1023087731 BOHDAN A LEBEDOWICZ MD
Individual
Internal Medicine1050 W 10TH ST
ROLLA, MO 65401
(573) 364-9000
1154337202DR. CHRISTOPHER L JOHNSON DPM
Individual
Podiatrist (Foot & Ankle Surgery)1050 W 10TH ST
ROLLA, MO 65401
(573) 458-3402
1205848736DR. THOMAS F MARTIN MD
Individual
Internal Medicine (Cardiovascular Disease)1050 W 10TH ST STE 500
ROLLA, MO 65401
(573) 308-1301
1447305412 JIMMY D BELL NP
Individual
Nurse Practitioner (Adult Health)1050 W 10TH ST
ROLLA, MO 65401
(573) 364-9000
1215136569MRS. SUSAN KAY TOEBBEN
Individual
Nurse Practitioner (Adult Health)1050 W 10TH ST
ROLLA, MO 65401
(573) 364-9000
1598053498 SHAWNA C GIFFORD MD
Individual
Pediatrics1050 W 10TH ST
ROLLA, MO 65401
(573) 364-9000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780852384, enumerated in the NPI registry as an "organization" on February 15, 2008

The provider is located at 1050 W 10th St Suite 480 Rolla, Mo 65401 and the phone number is (573) 364-1900

This medical organization specializes in Pediatrics with taxonomy code 208000000X

This NPI record was last updated on February 15, 2008. 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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