PREMIER PEDIATRICS, PA
NPI 1902128259
Pediatrics in Overland Park, KS

NPI Status: Active since February 26, 2010

Contact Information

8675 COLLEGE BLVD
SUITE 100
OVERLAND PARK, KS
ZIP 66210
Phone: (913) 261-3153
Fax: (913) 262-3295

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  • Organization
  • Pediatrics
  • CLIA Number: 17D2004958
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-16-2027

About PREMIER PEDIATRICS, PA

This page provides the complete NPI Profile along with additional information for Premier Pediatrics, Pa, a pediatrician established in Overland Park, Kansas operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1902128259 assigned on February 2010. The practitioner's primary taxonomy code is 208000000X with license number 04-27906 (KS). The provider is registered as an organization and their NPI record was last updated 15 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 Dr. Deborah Winburn M.d. (Partner)

NPI
1902128259
Provider Name
PREMIER PEDIATRICS, PA
Entity Type
Organization
Location Address
8675 COLLEGE BLVD SUITE 100 OVERLAND PARK, KS 66210
Location Phone
(913) 261-3153
Location Fax
(913) 262-3295
Mailing Address
5800 FOXRIDGE DR SUITE 240 MISSION, KS 66202
Mailing Phone
(913) 261-3153
Mailing Fax
(913) 262-3295
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2010
Last Update Date
02-26-2010
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A pediatrician like Premier Pediatrics, Pa 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.

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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
04-27906
License State
KS
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

DR. DEBORAH WINBURN M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(913) 261-3153

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D2004958
Facility Type
Physician Office
Certificate Effective Date
March 17, 2025
Certificate Expiration Date
March 16, 2027
Laboratory Director
DEBORAH K. WINBURN-ANTOVONI
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Premier Pediatrics, Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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.
1902128259
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29022216210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 2 + 2 + 1 + 6 + 2 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1902128259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366490286DR. DERRICK ROBERT WARD M.D.
Individual
Allergy & Immunology8675 COLLEGE BLVD SUITE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1447204219DR. JEFFREY A WALD MD
Individual
Allergy & Immunology8675 COLLEGE BLVD STE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1568416345DR. GERALD L GOLDSTEIN MD
Individual
Allergy & Immunology8675 COLLEGE BLVD STE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1356395149DR. SCOTT J FRANKEL MD
Individual
Allergy & Immunology8675 COLLEGE BLVD STE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1114964343KIMBERLY M. WIRTHS, MD, PA
Organization
Family Medicine8675 COLLEGE BLVD SUITE 100
OVERLAND PARK, KS 66210
(913) 327-0911
1447460183 SARA COX PA-C
Individual
Physician Assistant8675 COLLEGE BLVD SUITE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1710167283 MONICA LYANN APOLLO PAC
Individual
Physician Assistant8675 COLLEGE BLVD SUITE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1871740464PHYSICIAN ASSOCIATES OF CORPORATE WOODS, LLC
Organization
Family Medicine8675 COLLEGE BLVD SUITE 100
OVERLAND PARK, KS 66210
(913) 327-0911
1144593328 JESSICA FOLEY MSN FNP
Individual
Nurse Practitioner8675 COLLEGE BLVD SUITE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1821058827 STEVEN M SIMON MD
Individual
Physical Medicine & Rehabilitation8675 COLLEGE BLVD SUITE 150
OVERLAND PARK, KS 66210
(913) 599-2440
1962824656 JENNIFER KRISTIN RUCK
Individual
Nurse Practitioner (Family)8675 COLLEGE BLVD
OVERLAND PARK, KS 66210
(913) 599-2440
1336361948DR. JAMES BOYD STERNER MD
Individual
Allergy & Immunology8675 COLLEGE BLVD SUITE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1003934712 GREGORY C BUHLER D.O.
Individual
Family Medicine8675 COLLEGE BLVD #150
OVERLAND PARK, KS 66210
(913) 599-2440
1023541554PAULA J. HARKINS, PHD, LLC
Organization
Psychologist (Clinical)8675 COLLEGE BLVD SUITE 150
OVERLAND PARK, KS 66210
(913) 338-1356
1033178686KANSAS CITY ALLERGY & ASTHMA ASSOCIATES P A
Organization
Allergy & Immunology8675 COLLEGE BLVD STE 200
OVERLAND PARK, KS 66210
(913) 491-5501
1114664158MISS MADISON EHLERS APRN
Individual
Nurse Practitioner (Family)8675 COLLEGE BLVD
OVERLAND PARK, KS 66210
(913) 345-9400
1073235057 LAURYN ATTA MCLAUGHLIN DNP, APRN, FNP-BC
Individual
Nurse Practitioner8675 COLLEGE BLVD
OVERLAND PARK, KS 66210
(913) 491-5501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902128259, enumerated in the NPI registry as an "organization" on February 26, 2010

The provider is located at 8675 College Blvd Suite 100 Overland Park, Ks 66210 and the phone number is (913) 261-3153

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider's CLIA number is 17D2004958 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on February 26, 2010. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.