Poplar Bluff Pediatric Assoc Ll
NPI 1457881963 · Clinic/Center · Poplar Bluff, MO
Poplar Bluff Pediatric Assoc Ll is a Clinic/Center organization in Poplar Bluff, MO (NPI 1457881963).
Provider details
- NPI number
- 1457881963
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Moss, Office Manager(573) 785-2005
Specialties & taxonomies
Ambulatory Health Care Facilities
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-16
- Last updated
- 2022-07-21
Frequently asked questions
- What is Poplar Bluff Pediatric Assoc Ll's NPI number?
- Poplar Bluff Pediatric Assoc Ll's National Provider Identifier (NPI) is 1457881963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Poplar Bluff Pediatric Assoc Ll?
- Poplar Bluff Pediatric Assoc Ll is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Poplar Bluff Pediatric Assoc Ll located?
- Poplar Bluff Pediatric Assoc Ll's practice location on file with NPPES is 2210 Barron Rd, Poplar Bluff, MO 63901-1908.
- What is Poplar Bluff Pediatric Assoc Ll's phone number?
- The practice phone number listed in the NPPES registry for Poplar Bluff Pediatric Assoc Ll is (573) 785-2005.
- Who is the authorized official for Poplar Bluff Pediatric Assoc Ll?
- The authorized official listed on Poplar Bluff Pediatric Assoc Ll's NPPES record is Tiffany Moss, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Poplar Bluff Pediatric Assoc Ll's NPI active?
- Yes — Poplar Bluff Pediatric Assoc Ll's NPI (1457881963) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.