COBBLESTONE SPECIALTY CARE INC
NPI 1346602695
Family Medicine - Geriatric Medicine in Liberty, MO

NPI Status: Active since March 25, 2016

Contact Information

1133 W KANSAS ST
LIBERTY, MO
ZIP 64068
Phone: (816) 781-7400
Fax: (816) 781-3315

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Geriatric Medicine
CLIA Number: 26D0877388
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 03-27-2027

About COBBLESTONE SPECIALTY CARE INC

This page provides the complete NPI Profile along with additional information for Cobblestone Specialty Care Inc, a primary care provider established in Liberty, Missouri operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1346602695 assigned on March 2016. The practitioner's primary taxonomy code is 207QG0300X with license number 36537 (MO). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John H Amick D.o. (Senior Partner)

NPI: 1346602695
Provider Name: COBBLESTONE SPECIALTY CARE INC
Entity Type: Organization
Location Address: 1133 W KANSAS ST LIBERTY, MO 64068
Location Phone: (816) 781-7400
Location Fax: (816) 781-3315
Mailing Address: PO BOX 381 LIBERTY, MO 64069
Mailing Phone: (816) 781-7400
Mailing Fax: (816) 781-3315
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-25-2016
Last Update Date: 03-25-2016
Code Navigator

A primary care provider (PCP) like Cobblestone Specialty Care Inc 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: Family Medicine Geriatric Medicine
Taxonomy Code: 207QG0300X
Type: Allopathic & Osteopathic Physicians
License No.: 36537
License State: MO
Taxonomy Description: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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: DR. JOHN H AMICK D.O.
Authorized Official Title: SENIOR PARTNER
Authorized Official Phone: (816) 781-7400

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: 26D0877388
Facility Type: Physician Office
Certificate Effective Date: March 28, 2025
Certificate Expiration Date: March 27, 2027
Laboratory Director: JOHN H. AMICK DO
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Cobblestone Specialty Care Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	4	6	6	0	2	6	9	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	8	6	12	0	4	6	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 2 + 0 + 4 + 6 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5									5

The NPI number 1346602695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.