Independence Pediatrics, P.C. Inc.

LBN: Independence Pediatrics, P.C. Inc.
Independence Pediatrics, P.C. Inc. is an health care organization with primary practice located at 17500 Medical Center Pkwy Suite 5, Independence MO 64057-1823. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Independence Pediatrics, P.C. Inc. can be contacted via phone (816) 373-1111, or through Harris, Weldon Lee via phone (816) 373-1111.

Contact Information

Primary practice address
17500 Medical Center Pkwy Suite 5 Independence MO 64057-1823
Phone: (816) 373-1111
Fax: (816) 373-9222
Website:
Map and Directions
Authorized official contact:
Name: Harris, Weldon Lee Doctor of Medicine (MD)
Phone: (816) 373-1111

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35496 Missouri

Profile Details

NPI number 1962532283
LBN Legal business name Independence Pediatrics, P.C. Inc.
DBA Doing business as
Authorized official Harris, Weldon Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962532283 NPPES
Missouri MEDICAID J61A008
Missouri MEDICAID J619948

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