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COTTONWOOD PEDIATRICS PA NPI 1407859119


NPI Information

NPI: 1407859119
Provider Name: COTTONWOOD PEDIATRICS, PA
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 17D1024703

Address:
700 MEDICAL CENTER DR
STE 150
NEWTON, KS
ZIP 67114
Phone: (316) 283-7100
Get Directions

COTTONWOOD PEDIATRICS, PA is a pediatrics in Newton, KS. The provider is 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. COTTONWOOD PEDIATRICS, PA NPI is 1407859119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 MEDICAL CENTER DR
STE 150
NEWTON, KS
ZIP 67114-015
Phone: (316) 283-7100
Fax: (316) 283-7118

The provider's authorized official is Sue Ann Jantz .
The authorized official title is Administrator and has the following contact phone number (316) 283-7100.

The CLIA number assigned to this NPI record is 17D1024703 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 11/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics0422944KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1193782OTHERKANSASCOVENTRY
220418430AMEDICAIDKANSAS
3841639497OTHERKANSASCENTURY HEALTH
4841639497OTHERKANSASCIGNA
51615419OTHERKANSASFIRST HEALTH
6111290OTHERKANSASBLUE CROSS / BLUE SHIELD
7841639497OTHERKANSASPHCS/PRINCIPAL
8100403OTHERKANSASHEALTH PARTNERS OF KANSAS
9100403OTHERKANSASAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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