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COCKERELL & MCINTOSH PEDIATRICS PC
NPI 1124190632
Clinic/Center - Primary Care in Blue Springs, MO

Active since November 14, 2006CLIA Certified · 2 labs
205 NW RD MIZE RD, SUITE 304, BLUE SPRINGS, MO 64014(816) 228-4770(816) 228-1156 Get Directions Write a Review

NPPES record last updated: January 31, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cockerell & Mcintosh Pediatrics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COCKERELL & MCINTOSH PEDIATRICS PC (NPI 1124190632) is a healthcare organization registered as a primary care in Blue Springs, Missouri and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Bryan E Wood, General Manager, as its authorized official.

NPPES Registry Identity

NPI1124190632
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOCKERELL & MCINTOSH PEDIATRICS PC
Location Address205 NW RD MIZE RD, SUITE 304Blue Springs, MO 64014-2518
Mailing Address205 Nw R D Mize Rd, Suite 304Blue Springs, MO 64014-2518 · (816) 228-4770 · Fax (816) 228-1156
Phone(816) 228-4770
Fax(816) 228-1156
Organization SubpartNo
Authorized OfficialBryan E WoodGeneral Manager · (816) 228-4770
Enumeration DateNovember 14, 2006
Last NPPES UpdateJanuary 31, 2011
✔ NPI 1124190632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
205 NW RD MIZE RD, Blue Springs, MO 64014
Open in Google Maps ↗

Other Identifiers 1

Other11862021MO · Bcbs Group Number

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D0442757

Cockerell & Mcintosh Pediatrics · Independence, MO
Active · expires Mar 6, 2028
CLIA Number26D0442757
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorMark A. Mozer
Laboratory Phone(816) 228-4770
Laboratory LocationCockerell & Mcintosh Pediatrics2407 Route 291, Independence, MO 64057
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 26D0442499

Cockerell & Mcintosh Pediatrics - Blue Springs · Blue Springs, MO
Active · expires Sep 14, 2026
CLIA Number26D0442499
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2024
Certificate Expiration DateSeptember 14, 2026
Laboratory DirectorMark A. Mozer
Laboratory Phone(816) 228-4770
Laboratory LocationCockerell & Mcintosh Pediatrics - Blue Springs1203 S 7 Hwy, Blue Springs, MO 64014
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID L VOSHALL MD
Internal Medicine
205 NW RD MIZE RD, STE 400
BLUE SPRINGS, MO 64014
Jackson County (816) 228-9841
THOMAS ANTHONY SECK D.O.
Pediatrics
205 NW RD MIZE RD, SUITE 304
BLUE SPRINGS, MO 64014
Jackson County (816) 228-4770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cockerell & Mcintosh Pediatrics PC's NPI number?

The NPI number for Cockerell & Mcintosh Pediatrics PC is 1124190632. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Cockerell & Mcintosh Pediatrics PC located?

Cockerell & Mcintosh Pediatrics PC is located at 205 NW Rd Mize Rd Suite 304, Blue Springs, MO 64014. The listed phone number is (816) 228-4770.

What is Cockerell & Mcintosh Pediatrics PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Cockerell & Mcintosh Pediatrics PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cockerell & Mcintosh Pediatrics PC was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.