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

NPI Status: Active since November 14, 2006

Contact Information

205 NW RD MIZE RD
SUITE 304
BLUE SPRINGS, MO
ZIP 64014
Phone: (816) 228-4770
Fax: (816) 228-1156

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 26D0442757
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-06-2028

About COCKERELL & MCINTOSH PEDIATRICS PC

This page provides the complete NPI Profile along with additional information for Cockerell & Mcintosh Pediatrics Pc, a primary care provider established in Blue Springs, Missouri operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1124190632 assigned on November 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Bryan E Wood (General Manager)

NPI
1124190632
Provider Name
COCKERELL & MCINTOSH PEDIATRICS PC
Entity Type
Organization
Location Address
205 NW RD MIZE RD SUITE 304 BLUE SPRINGS, MO 64014
Location Phone
(816) 228-4770
Location Fax
(816) 228-1156
Mailing Address
205 NW R D MIZE RD SUITE 304 BLUE SPRINGS, MO 64014
Mailing Phone
(816) 228-4770
Mailing Fax
(816) 228-1156
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2006
Last Update Date
01-31-2011
Code Navigator

A primary care provider (PCP) like Cockerell & Mcintosh Pediatrics Pc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

BRYAN E WOOD

Authorized Official Title
GENERAL MANAGER
Authorized Official Phone
(816) 228-4770

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
11862021OTHER (01)MOBCBS GROUP NUMBER

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
26D0442757
Facility Type
Physician Office
Certificate Effective Date
March 07, 2026
Certificate Expiration Date
March 06, 2028
Laboratory Director
MARK A. MOZER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Cockerell & Mcintosh Pediatrics Pc 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124190632, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 2 + 9 + 0 + 6 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124190632.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pediatrics
205 NW RD MIZE RD, SUITE 304
BLUE SPRINGS, MO 64014
Internal Medicine
205 NW RD MIZE RD, STE 400
BLUE SPRINGS, MO 64014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124190632, enumerated as an "organization" on November 14, 2006.

The provider is located at 205 NW RD MIZE RD SUITE 304 BLUE SPRINGS, MO 64014 and the phone number is (816) 228-4770.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.