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ROLLA CHILDREN'S CLINIC, P.C.
NPI 1780852384
Pediatrics in Rolla, MO

Active since February 15, 2008
1050 W 10TH ST, SUITE 480, ROLLA, MO 65401(573) 364-1900(573) 364-7365 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rolla Children's Clinic, P.c. NPPES

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

ROLLA CHILDREN'S CLINIC, P.C. (NPI 1780852384) is a healthcare organization registered as a pediatrics in Rolla, Missouri and active in the NPI registry since February 2008. The organization lists Robert Bruce Russell, Manager, as its authorized official.

NPPES Registry Identity

NPI1780852384
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameROLLA CHILDREN'S CLINIC, P.C.
Location Address1050 W 10TH ST, SUITE 480Rolla, MO 65401-2905
Mailing Address1050 W 10th St, Suite 480Rolla, MO 65401-2905 · (573) 364-1900 · Fax (573) 364-7365
Phone(573) 364-1900
Fax(573) 364-7365
Organization SubpartNo
Authorized OfficialRobert Bruce RussellManager · (573) 364-1900
Enumeration DateFebruary 15, 2008
✔ NPI 1780852384 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.
1050 W 10TH ST, Rolla, MO 65401
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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 20

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

YAM SHARMA
Pediatrics
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
DR. DONALD L JAMES DO
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-7545
BOHDAN A LEBEDOWICZ MD
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
ALAN D HEINCKER D.O.
Orthopaedic Surgery
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
DR. KELSEY RAE KNOBBE MD
Obstetrics & Gynecology
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MIGNON M MAKOS MD
Psychiatry & Neurology (Neurology)
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MR. STEVEN R BALLARD ANP
Nurse Practitioner (Adult Health)
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MRS. JENNIFER LYNN BREMER P.A.
Physician Assistant
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000

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 Rolla Children's Clinic, P.C.'s NPI number?

The NPI number for Rolla Children's Clinic, P.C. is 1780852384. It was assigned to this organization in the NPPES registry on February 15, 2008.

Where is Rolla Children's Clinic, P.C. located?

Rolla Children's Clinic, P.C. is located at 1050 W 10th St Suite 480, Rolla, MO 65401. The listed phone number is (573) 364-1900.

What is Rolla Children's Clinic, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Rolla Children's Clinic, P.C. was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.