DR. LUKE MONELL WICKE (NPI# 1588926620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588926620 |
| Entity Type | Individual |
| Full Name | DR. LUKE MONELL WICKE |
| Credential | DO |
| Practice Address |
3126 S Jackson Ave Ste 200 Joplin MO 64804 |
| Mailing Address |
3126 S Jackson Ave Ste 200 Joplin MO 64804-2500 |
| Practice Telephone | 4175563465 |
| Mailing Telephone | 4175563465 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2019012274 | MO | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | DOS-1551 | HI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Tripler Army Medical Center, 1 Jarrett White Rd, Tamc, HI 968595001 | 8084333300 |
| Street Address |
3126 S JACKSON AVE STE 200 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528354008 | Amanda Andrade | Family Medicine | 3126 S Jackson Ave Ste 200, Joplin, MO 64804-2500 | 2011-06-23 |
| 1104480466 | Dustin King Parker | Specialist/Technologist | 3126 S Jackson Ave Ste 200, Joplin, MO 64804-2500 | 2019-04-23 |
| 1003104118 | Betty Carolyn Murray | Internal Medicine | 3126 S Jackson Ave Ste 200, Joplin, MO 64804-2500 | 2011-07-11 |
| 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 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952830283 | Missouri Pain Care Group LLC | Family Medicine | 2705 S Range Line Rd Ste C, Joplin, MO 64804-3283 | 2017-06-09 |
| 1902332448 | Joplin Pain Care Group LLC | Family Medicine | 2705 S Range Line Rd, Suite C, Joplin, MO 64804-3254 | 2017-05-03 |
| 1528354008 | Amanda Andrade | Family Medicine | 3126 S Jackson Ave Ste 200, Joplin, MO 64804-2500 | 2011-06-23 |
| 1326379710 | Joplin Primary Care Inc | Family Medicine | 3130 Wisconsin Ave, Ste 4, Joplin, MO 64804-2873 | 2010-01-25 |
| 1861525750 | Aida Esther Figueroa | Family Medicine | 3512 S Range Line Rd # 101, Joplin, MO 64804-4431 | 2007-03-13 |
| 1538265962 | Kent Sutterer Do, LLC | Family Medicine | 2700 Mc Clelland Blvd, Building B Suite 209, Joplin, MO 64804-1623 | 2006-09-15 |
| 1043247018 | Dennis Younker | Family Medicine | 702 E 34th St Ste 202, Joplin, MO 64804-3921 | 2006-06-27 |
| 1376589804 | Troy R Damour | Family Medicine | 1801 W 32nd St Ste 102, Joplin, MO 64804-1528 | 2006-06-22 |
| 1487690913 | Sean C Pfeffer | Family Medicine | 3130 Wisconsin Ave Ste 6, Joplin, MO 64804-2800 | 2006-06-22 |
| 1730120759 | James W Dailey | Family Medicine | 1717 S Range Line Rd, Ste B, Joplin, MO 64804-3234 | 2006-06-09 |
| Find all providers in JOPLIN | ||||
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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.