Ccpartners LLC
Ccpartners LLC is a healthcare organization registered as Pediatric Adolescent Medicine Physician in Festus, MO, holding Type 2 (organization) NPI 1487857033 since 2007. The authorized official on file is Joshua Boldt, Physician/Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487857033 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ccpartners LLC |
| Other name | <Unavail> |
| Practice address | 35 GOODWIN DR, Festus, MO, 63028 |
| Phone | 6369334141 |
| Fax | 6369317007 |
| Enumeration date | 2007-06-08 |
| Last updated in NPPES | 2014-02-07 |
Authorized official
| Name | Joshua Boldt |
|---|---|
| Title | Physician/Partner |
| Phone | 6369334141 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080A0000X | Pediatric Adolescent Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100301 | Other | MO | GROUP HEALTH PLAN |
| 507593903 | Medicaid | MO | — |
| 36393 | Other | MO | HEALTHCARE USA |
| 0191 | Other | MO | MERCY CARE PLUS |
Copy-ready billing details
Provider: Ccpartners LLC NPI: 1487857033 Taxonomy: 2080A0000X (Pediatric Adolescent Medicine Physician) Address: 35 GOODWIN DR, Festus, MO, 63028
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861477085 | Daniel Rudolph | Individual | Pediatrics Physician | Festus, MO |
| 1013992189 | Joshua Boldt | Individual | Pediatrics Physician | Festus, MO |
| 1457336166 | Erin Donovan | Individual | Pediatric Nurse Practitioner | Festus, MO |
| 1104215086 | Louise Jadwisiak | Individual | Pediatric Nurse Practitioner | Festus, MO |
| 1114478120 | Sean Rudolph | Individual | Athletic Trainer | Festus, MO |
| 1477063253 | Ashley Reese | Individual | Critical Care Pediatric Nurse Practitioner | Festus, MO |
| 1013568120 | Blair Theis | Individual | Pediatric Nurse Practitioner | Festus, MO |
| 1467327114 | Morgan Korder | Individual | Pediatric Nurse Practitioner | Festus, MO |
Verify this record
Cross-check NPI 1487857033 against the authoritative CMS record: view Ccpartners LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Ccpartners LLC?
What is the NPI number for Ccpartners LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-02-07.