Organization
TLC PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASSAD U SHAFFIEY MD (PRESIDENT)
(660) 829-5852
Entity
Organization
Contact information
Practice address
2925 CLINTON RD, SEDALIA, MO 65301-7915
(660) 829-5852
(660) 829-5854
Mailing address
2925 CLINTON RD, SEDALIA, MO 65301-7915
(660) 829-5852
(660) 829-5854
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
115544
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200057
UHC
MO
05
—
18833
—
MO
01
—
25282044
BCBS
MO
05
—
372430
—
MO
01
—
392869
HEALTHLINK/FREEDOM NET
MO
05
—
9518
—
MO
01
—
G85947
MERCY
MO
Enumeration date
09/02/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us