MDH PEDIATRICS
NPI 1356698310
Pediatrics in Macomb, IL

Active since August 09, 2012CLIA 14D2021862 · Waiver
505 E GRANT ST, SUITE 202, MACOMB, IL 61455(309) 833-1729 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mdh Pediatrics NPPES

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

MDH PEDIATRICS (NPI 1356698310) is a healthcare organization registered as a pediatrics in Macomb, Illinois and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Kenny Boyd, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356698310
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMCDONOUGH COUNTY HOSPITAL DISTRICT
Location Address505 E GRANT ST, SUITE 202Macomb, IL 61455-3352
Mailing Address505 E Grant St, Suite 202Macomb, IL 61455-3352
Organization SubpartNo
Authorized OfficialKenny BoydCeo · (309) 833-4101
Enumeration DateAugust 9, 2012
NPI 1356698310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

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.

505 E GRANT ST, Macomb, IL 61455

Other Names 1

Doing Business AsMdh Pediatrics

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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Waiver 14D2021862

Mdh Pediatric Clinic · Macomb, IL
Active · expires Mar 22, 2027
CLIA Number14D2021862
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorRichard Minter
Laboratory Phone(309) 833-1729
Laboratory LocationMdh Pediatric Clinic515 E Grant St, Ste 111, Macomb, IL 61455
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Obstetrics & Gynecology
505 E GRANT ST
MACOMB, IL 61455
Advanced Practice Midwife
505 E GRANT ST
MACOMB, IL 61455
Family Medicine
505 E GRANT ST, SUITE 202
MACOMB, IL 61455
Family Medicine
505 E GRANT ST, SUITE 110
MACOMB, IL 61455
Orthopaedic Surgery
505 E GRANT ST, SUITE 205
MACOMB, IL 61455
Ophthalmology
505 E GRANT ST, STE 206
MACOMB, IL 61455
Family Medicine
505 E GRANT ST, SUITE 110 FAMILY PRACTICE ASSOCIATES OF MACOMB LTD
MACOMB, IL 61455
Clinical Medical Laboratory
505 E GRANT ST
MACOMB, IL 61455

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 Mcdonough County Hospital District's NPI number?

The NPI number for Mcdonough County Hospital District is 1356698310. It was assigned to this organization in the NPPES registry on August 9, 2012. The provider is doing business as Mdh Pediatrics.

Where is Mcdonough County Hospital District located?

Mcdonough County Hospital District is located at 505 E Grant St Suite 202, Macomb, IL 61455. The listed phone number is (309) 833-1729.

What is Mcdonough County Hospital District's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Mcdonough County Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2021862) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mcdonough County Hospital District was last updated on August 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.