JOHN EARL BECKERT (NPI# 1316057557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316057557 |
Entity Type | Individual |
Full Name | JOHN EARL BECKERT |
Credential | DO |
Practice Address |
103 East Commercial Street Kahoka MO 63445-1701 |
Practice Telephone | 6607273377 |
Practice Fax Number | 6607273775 |
Mailing Telephone | 6607273377 |
Mailing Fax Number | 6607273775 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 32232 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 240146308 | 05 | |
IA | MEDICAID | 0950220 | 01 |
Street Address |
103 EAST COMMERCIAL STREET |
City | KAHOKA |
State | MO |
Zip Code | 63445-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124138367 | Brigitte Renee Cormier | Family Medicine | 103 East Commercial Street, Kahoka, MO 63445-1701 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497286462 | Nicole Davolt | Community Health Worker | 112 N Johnson St., Kahoka, MO 63445 | 2017-03-22 |
1376953554 | Samantha Allen | Speech-Language Pathologist | 566 E Commercial St, Kahoka, MO 63445 | 2014-04-28 |
1558781443 | Athena Marie Duncan | Technician/Technologist | 450 N Johnson, Kahoka, MO 63445 | 2014-04-18 |
1124208137 | Lynne E Barbour Dds PC | Dentist | 203 E Commercial, Kahoka, MO 63445 | 2007-11-07 |
1700912276 | Exceed Physical Therapy LLC | Physical Therapist | 120 South Johnson Street, Kahoka, MO 63445 | 2007-02-26 |
1417047887 | Lynne Barbour | Dentist | 203 East Commercial, Kahoka, MO 63445-0025 | 2006-10-13 |
1366076929 | Kourtney Brooke Anderson | Occupational Therapy Assistant | 710 Newton Ave, Kahoka, MO 63445-1009 | 2020-02-23 |
1336761873 | Erin Protsman | Nurse Practitioner | 304 Westbrooke Dr, Kahoka, MO 63445-1052 | 2020-05-07 |
1194718908 | Clark County Nursing Home | Skilled Nursing Facility | 1260 N Johnson St, Kahoka, MO 63445-1100 | 2005-08-26 |
1851765960 | Jessica Dianne Boudreau | Occupational Therapy Assistant | 1260 N Johnson St, Kahoka, MO 63445-1100 | 2015-12-01 |
Find all providers in zip 63445 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
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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.