POPLAR BLUFF PEDIATRIC ASSOC LL
NPI 1275676355
Clinic/Center - Rural Health in Poplar Bluff, MO

Active since February 15, 2007
2210 BARRON RD, SUITE 120, POPLAR BLUFF, MO 63901(573) 785-2005(573) 785-9444 Get Directions Write a Review

NPPES record last updated: October 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2017, Jul 25, 2017, Jun 1, 2017 (3 updates tracked since 2017).

About Poplar Bluff Pediatric Assoc Ll NPPES

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

POPLAR BLUFF PEDIATRIC ASSOC LL (NPI 1275676355) is a healthcare organization registered as a rural health in Poplar Bluff, Missouri and active in the NPI registry since February 2007. The organization lists Tiffany L Moss, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1275676355
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePOPLAR BLUFF PEDIATRIC ASSOC LL
Location Address2210 BARRON RD, SUITE 120Poplar Bluff, MO 63901-1908
Mailing Address2210 Barron Rd, Suite 120Poplar Bluff, MO 63901-1908 · (573) 785-2005 · Fax (573) 785-9444
Fax(573) 785-9444
Organization SubpartNo
Authorized OfficialTiffany L MossOffice Manager · (573) 785-2005
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 5, 20173 updates tracked since enumeration
NPI 1275676355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
2210 BARRON RD, Poplar Bluff, MO 63901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
2210 BARRON RD
POPLAR BLUFF, MO 63901
Ophthalmology
2210 BARRON RD, SUITE114
POPLAR BLUFF, MO 63901
Clinic/Center (Medical Specialty)
2210 BARRON RD, SUITE 112
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
2210 BARRON RD, SUITE 219
POPLAR BLUFF, MO 63901
Obstetrics & Gynecology (Gynecology)
2210 BARRON RD
POPLAR BLUFF, MO 63901
Clinic/Center (Rural Health)
2210 BARRON RD, SUITE 219
POPLAR BLUFF, MO 63901
Durable Medical Equipment & Medical Supplies
2210 BARRON RD
POPLAR BLUFF, MO 63901
Internal Medicine (Hematology & Oncology)
2210 BARRON RD, SUITE 117
POPLAR BLUFF, MO 63901

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 Poplar Bluff Pediatric Assoc Ll's NPI number?

The NPI number for Poplar Bluff Pediatric Assoc Ll is 1275676355. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Poplar Bluff Pediatric Assoc Ll located?

Poplar Bluff Pediatric Assoc Ll is located at 2210 Barron Rd Suite 120, Poplar Bluff, MO 63901. The listed phone number is (573) 785-2005.

What is Poplar Bluff Pediatric Assoc Ll's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Poplar Bluff Pediatric Assoc Ll was last updated on October 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.