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OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC NPI 1801932355


NPI Information

NPI: 1801932355
Provider Name: OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
930 CARONDELET DR
SUITE 303
KANSAS CITY, MO
ZIP 64114
Phone: (816) 941-0440
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OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC is a pediatrics in Kansas City, MO. 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. OVERLAND PEDIATRICS AND INFECTIOUS DISEASE CARE LLC NPI is 1801932355. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

930 CARONDELET DR
SUITE 303
KANSAS CITY, MO
ZIP 64114-855
Phone: (816) 941-0440
Fax: (816) 941-9966

The provider's authorized official is Armisa Tongson Cullens .
The authorized official title is Ceo and has the following contact phone number (816) 941-0440.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics0422532KANSASNo
2208000000XPediatricsR1J85MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12050070802MEDICAIDKANSAS

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: 11/14/2023

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