KIDZ BIZ PEDIATRICS - NPI 1487857033 - Pediatrics in Festus, MO

Q: What is Ccpartners LLC's NPI number?

The NPI number for Ccpartners LLC is 1487857033. It was assigned to this organization in the NPPES registry on June 8, 2007. The provider is doing business as Kidz Biz Pediatrics.

Q: What is Ccpartners LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Ccpartners LLC was last updated on February 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kidz Biz Pediatrics NPPES

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

KIDZ BIZ PEDIATRICS (NPI 1487857033) is a healthcare organization registered as an adolescent medicine in Festus, Missouri and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Joshua Paul Boldt, Physician/partner, as its authorized official.

NPPES Registry Identity

NPI1487857033

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NameCCPARTNERS LLC

Location Address35 GOODWIN DRFestus, MO 63028-4122

Mailing Address35 Goodwin DrFestus, MO 63028-4122 · (636) 933-4141 · Fax (636) 931-7007

Phone(636) 933-4141

Fax(636) 931-7007

Organization SubpartNo

Authorized OfficialJoshua Paul BoldtPhysician/partner · (636) 933-4141

Enumeration DateJune 8, 2007

Last NPPES UpdateFebruary 7, 2014

✔ NPI 1487857033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

35 GOODWIN DR, Festus, MO 63028

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Other Names 1

Doing Business AsKidz Biz Pediatrics

Other Identifiers 4

Other36393MO · Healthcare Usa

Other0191MO · Mercy Care Plus

Medicaid507593903MO

Other100301MO · Group Health Plan

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 26D0685556

Kidz Biz Pediatrics · Festus, MO

Active · expires Aug 29, 2026

CLIA Number26D0685556

Laboratory TypePhysician Office

Certificate Effective DateAugust 30, 2024

Certificate Expiration DateAugust 29, 2026

Laboratory DirectorDaniel G. Rudolph

Laboratory Phone(636) 933-4141

Laboratory LocationKidz Biz Pediatrics35 Goodwin Drive, Festus, MO 63028

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

BLAIR A THEIS

Nurse Practitioner (Pediatrics)