EXCELSIOR SPRINGS PEDIATRIC CLINIC
NPI 1568750420
Pediatrics in Excelsior Springs, MO
NPI Status: Active since July 13, 2011
Contact Information
1006 N JESSE JAMES RD
STE 2
EXCELSIOR SPRINGS, MO
ZIP 64024
Phone: (816) 637-0117
Fax: (816) 637-0814
NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Pediatrics
About EXCELSIOR SPRINGS PEDIATRIC CLINIC
This page provides the complete NPI Profile along with additional information for Excelsior Springs Pediatric Clinic, a pediatrician established in Excelsior Springs, Missouri operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1568750420 assigned on July 2011. The practitioner's primary taxonomy code is 208000000X with license number R6H00 (MO). The provider is registered as an organization and their NPI record was last updated 15 years ago. Excelsior Springs Pediatric Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kelli L Bowman (Office Manager)
- NPI
- 1568750420
- Provider Name
- EXCELSIOR SPRINGS PEDIATRIC CLINIC
- Entity Type
- Organization
- Location Address
- 1006 N JESSE JAMES RD STE 2 EXCELSIOR SPRINGS, MO 64024
- Location Phone
- (816) 637-0117
- Location Fax
- (816) 637-0814
- Mailing Address
- 1006 N JESSE JAMES RD STE 2 EXCELSIOR SPRINGS, MO 64024
- Mailing Phone
- (816) 637-0117
- Mailing Fax
- (816) 637-0814
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2011
- Last Update Date
- 07-13-2011
- Code Navigator
A pediatrician like Excelsior Springs Pediatric Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R6H00
- License State
- MO
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 2011006205 (MO) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 202518809 | MEDICAID (05) | MO |
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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 1568750420, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568750420, enumerated as an "organization" on July 13, 2011.
The provider is located at 1006 N JESSE JAMES RD STE 2 EXCELSIOR SPRINGS, MO 64024 and the phone number is (816) 637-0117.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
