MEDICARE: COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6606969	OTHER	MO	UNITED HEALTHCARE ID
2	202402	OTHER	MO	FAMILY HEALTH PARTNERS ID
3	377880	OTHER	MO	FIRST GUARD ID
4	4430403	OTHER	MO	AETNA PROVIDER ID

General Provider Information

NPI Number	:	1437180171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC

Provider Business Mailing Address
First Line	:	205 NW R D MIZE RD
Second Line	:	SUITE 304
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014
Country	:	US
Telephone Number	:	816-228-4770
Fax Number	:	816-228-1156

Provider Business Practice Location Address
First Line	:	11200 E WINNER RD
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64052-3964
Country	:	US
Telephone Number	:	816-252-9850
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	BRYAN E WOOD
Credential	:
Telephone Number	:	816-228-4770

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/31/2011

Similar Medicare Providers

1619975315 — ANNETTE M BECK MD
Practice Location Address:

11200 E WINNER RD
INDEPENDENCE, MO
64052-3964

Practice Phone: 816-836-4300
Practice Fax: 816-836-2118

1598757239 — DR. WAYNE LAWRENCE LETIZIA M.D.
Practice Location Address:

10010 E TRUMAN RD
INDEPENDENCE, MO
64052-2160

Practice Phone: 816-252-7800
Practice Fax: 816-252-3542

1407843618 — DR. LANA CAY PENNELL D.O.
Practice Location Address:

10707 E WINNER RD
INDEPENDENCE, MO
64052-3759

Practice Phone: 816-350-1100
Practice Fax:

1205817871 — DAVID R. GUSTAFSON DO
Practice Location Address:

3507 SHADY BEND DR
INDEPENDENCE, MO
64052-2860

Practice Phone: 816-651-8631
Practice Fax:

1821034026 — WILLIAM T. BROWN JR. D.O.
Practice Location Address:

10010 E TRUMAN RD
INDEPENDENCE, MO
64052-2160

Practice Phone: 816-252-7800
Practice Fax: 816-252-3542

1356372270 — MS. AMELIA GAIL CLAUSEN LCSW
Practice Location Address:

12012 OAK RIDGE RD
INDEPENDENCE, MO
64052-2826

Practice Phone: 816-462-2953
Practice Fax:

Directions to “COCKERELL & MCINTOSH PEDIATRIC URGENT CARE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.