JACK TYRONE ADCOCK (NPI# 1669487054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669487054 |
| Entity Type | Individual |
| Full Name | JACK TYRONE ADCOCK |
| Credential | DO |
| Practice Address |
3201 Mcintosh Cir Joplin MO 64804-3647 |
| Mailing Address |
Po Box 3027 Joplin MO 64803-3027 |
| Practice Telephone | 4176231222 |
| Practice Fax Number | 4176248392 |
| Mailing Telephone | 4176231222 |
| Mailing Fax Number | 4176248392 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
2001025553 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 245800602 | 05 |
| Street Address |
3201 MCINTOSH CIR |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891199782 | Care for Women Joplin LLC | Obstetrics & Gynecology | 3201 Mcintosh Cir, Joplin, MO 64804-3647 | 2014-10-21 |
| 1538409263 | Herbert K Dixon M.d. PC | Ophthalmology | 3201 Mcintosh Cir, Joplin, MO 64804-3647 | 2013-02-16 |
| 1013268697 | Ciri D Corbin | Nurse Practitioner | 3201 Mcintosh Cir, Joplin, MO 64804-3647 | 2012-09-24 |
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609936293 | Christopher H. Roberts | Obstetrics & Gynecology | 2216 E 32nd St Ste 101, Joplin, MO 64804-3015 | 2006-12-12 |
| 1497722771 | Terry Keith Grebe | Obstetrics & Gynecology | 2736 E 15th St, Joplin, MO 64804-1201 | 2006-03-04 |
| 1073540977 | Oman E Dement | Obstetrics & Gynecology | 1532 W 32nd St, Ste 401, Joplin, MO 64804-1607 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992257992 | Luellen Malley | Obstetrics & Gynecology | 14105 Nw 74th St, Kansas City, MO 64152-5115 | 2016-10-26 |
| 1124404546 | Jean-alfred Thomas Inc | Obstetrics & Gynecology | 1031 Bellevue Ave # B, Suite 200, Saint Louis, MO 63117-1818 | 2015-08-07 |
| 1528346335 | Ataollah M. Yazdi | Obstetrics & Gynecology | 12370 Coppersmith Ct., St Louis, MO 63131 | 2011-07-27 |
| 1417289919 | Richard Douglas Stiff | Obstetrics & Gynecology | 2335 State Highway 265, Suite 200, Branson, MO 65616-8903 | 2010-02-08 |
| 1235466715 | Barton County Memorial Hospital | Obstetrics & Gynecology | 723 S. Main St., Lockwood, MO 65682 | 2009-11-04 |
| 1053589291 | Robert M Huster M.d., P.C. | Obstetrics & Gynecology | 1500 A Hwy Ste C, Liberty, MO 64068-7161 | 2008-02-11 |
| 1831388842 | Troy Womens Health Care LLC | Obstetrics & Gynecology | 25 Prospect Circle, Troy, MO 63379 | 2007-10-16 |
| 1205028586 | Gentle Gynecology P.C. | Obstetrics & Gynecology | 1500 A Hwy, Suite C, Liberty, MO 64068-7129 | 2007-08-10 |
| 1851582076 | Dr. Scott Beard | Obstetrics & Gynecology | 627 South Ash, Ste B, Nevada, MO 64772 | 2007-08-05 |
| 1043359029 | Piemsak Lim | Obstetrics & Gynecology | 206 Hospital Ln Ste 201, Perryville, MO 63775-1382 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
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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.