ST JOHN'S REGIONAL MEDICAL CENTER (NPI# 1174812523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174812523 |
| Entity Type | Organization |
| Organization Name | ST JOHN'S REGIONAL MEDICAL CENTER |
| Practice Address |
2727 Mcclelland Blvd Wound Care Joplin MO 64804-1626 |
| Mailing Address |
2727 Mcclelland Blvd Joplin MO 64804-1626 |
| Practice Telephone | 4177812727 |
| Practice Fax Number | 4176596678 |
| Mailing Telephone | 4177812727 |
| Mailing Fax Number | 4176596678 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | MRS. BARBARA WEST (WOUND CARE NURSE) |
| Authorized Official Telephone | 4177812727 |
| Authorized Official Credential | RN,WCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 123823 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RN | 123823 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700032653 | St John's Regional Medical Center | Nurse Anesthetist, Certified Registered | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2008-08-12 |
| Street Address |
2727 MCCLELLAND BLVD WOUND CARE |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528035144 | Phyllis Knickerbocker | Nurse Anesthetist, Certified Registered | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2006-03-02 |
| 1962702225 | Joplin Pathology Professionals PC | Pathology | 2727 Mcclelland Blvd, St. John's Regional Med Ctr Pathology Dept, Joplin, MO 64804-1626 | 2010-11-02 |
| 1992015176 | Sandi Boyce | Speech-Language Pathologist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-10-20 |
| 1376862979 | Magen Combs | Physical Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-05-20 |
| 1124345509 | Carol Watts | Physical Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2010-04-26 |
| 1265766075 | Dawnya Mae Gibbs | Occupational Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-09-25 |
| 1043443914 | Rachel Lynn Morgan | Occupational Therapist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-08-26 |
| 1366677072 | Robert Dale Mcdermid | Psychologist | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-05-26 |
| 1013150556 | Debra Hamilton | Registered Nurse | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-04-14 |
| 1528206893 | Ryan Palmer | Emergency Medical Technician, Basic | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952687477 | Mercy St John's | General Acute Care Hospital | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2011-10-28 |
| 1700112745 | Mercy Hospital Joplin | General Acute Care Hospital | 100 Mercy Way, Joplin, MO 64804 | 2009-10-27 |
| 1033345335 | Freeman Oak Hill Health System | General Acute Care Hospital | 1102 W 32nd St, Joplin, MO 64804-3503 | 2009-06-02 |
| 1780747097 | Freeman-oak Hill Health System | General Acute Care Hospital | 1102 West 32nd Street, Joplin, MO 64804-3599 | 2006-12-18 |
| 1194826453 | St Johns Regional Medical Center | General Acute Care Hospital | 2727 Mcclelland Blvd, Joplin, MO 64804-1695 | 2006-09-26 |
| 1265546048 | Freeman Oak Hill Health System | General Acute Care Hospital | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-08-18 |
| 1891809679 | Freeman-oak Hill Health System | General Acute Care Hospital | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.