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COCKERELL & MCINTOSH PEDIATRICS, PC
NPI 1629517107
Nurse Practitioner - Pediatrics in Blue Springs, MO

Active since February 17, 2017
205 NW R D MIZE RD, STE 304, BLUE SPRINGS, MO 64014(816) 228-4770(816) 228-1156 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cockerell & Mcintosh Pediatrics, Pc NPPES

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

COCKERELL & MCINTOSH PEDIATRICS, PC (NPI 1629517107) is a healthcare organization registered as a pediatrics in Blue Springs, Missouri and active in the NPI registry since February 2017. The organization lists Bryan E Wood, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1629517107
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameCOCKERELL & MCINTOSH PEDIATRICS, PC
Location Address205 NW R D MIZE RD, STE 304Blue Springs, MO 64014-2515
Mailing Address205 Nw R D Mize Rd, Ste 304Blue Springs, MO 64014-2515 · (816) 228-4770 · Fax (816) 228-1156
Phone(816) 228-4770
Fax(816) 228-1156
Organization SubpartNo
Authorized OfficialBryan E WoodPractice Administrator · (816) 228-4770
Enumeration DateFebruary 17, 2017
✔ NPI 1629517107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2016036885
205 NW R D MIZE RD, Blue Springs, MO 64014
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 3

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

NATALIE K KILPATRICK C.P.N.P.
Nurse Practitioner (Pediatrics)
205 NW R D MIZE RD, STE 304
BLUE SPRINGS, MO 64014
Jackson County (816) 228-4770
DR. SARIKA CHOWDHRY MD
Family Medicine
205 NW R D MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 228-1000
RENU DEBROY M.D.
Physical Medicine & Rehabilitation
205 NW R D MIZE RD, SUITE 408
BLUE SPRINGS, MO 64014
Jackson County (816) 220-9942

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 Cockerell & Mcintosh Pediatrics, PC's NPI number?

The NPI number for Cockerell & Mcintosh Pediatrics, PC is 1629517107. It was assigned to this organization in the NPPES registry on February 17, 2017.

Where is Cockerell & Mcintosh Pediatrics, PC located?

Cockerell & Mcintosh Pediatrics, PC is located at 205 NW R D Mize Rd Ste 304, Blue Springs, MO 64014. The listed phone number is (816) 228-4770.

What is Cockerell & Mcintosh Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Cockerell & Mcintosh Pediatrics, PC was last updated on February 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.