FREEMAN-OAK HILL HEALTH SYSTEM (NPI# 1720022148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720022148 |
Entity Type | Organization |
Organization Name | FREEMAN-OAK HILL HEALTH SYSTEM |
Other Organization Name | FREEMAN SURGERY |
Practice Address |
1102 W 32nd St Joplin MO 64804-3503 |
Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
Practice Telephone | 4173476605 |
Practice Fax Number | 4173479106 |
Mailing Telephone | 4173476605 |
Mailing Fax Number | 4173479106 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2018-10-18 |
Authorized Official Name | MR. STEVEN W GRADDY (CFO) |
Authorized Official Telephone | 4173476678 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100707160M | 05 | |
MO | 507297703 | 05 | |
MO | RR MEDICARE | CK6645 | 01 |
MO | RR MEDICARE | DD4229 | 01 |
MO | RR MEDICARE | CJ2527 | 01 |
MO | 506048008 | 05 | |
MO | 507605806 | 05 | |
MO | 504845603 | 05 | |
MO | RR MEDICARE | CK2686 | 01 |
OK | 100707160N | 05 | |
OK | 100693570Y | 05 | |
OK | 100713240K | 05 | |
OK | 100713250Q | 05 | |
OK | 100707160A | 05 | |
MO | 508435708 | 05 |
Other Name | Type Code |
---|---|
Freeman Surgery | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487821179 | Freeman-oak Hill Health System | Counselor | 3401 Mc Intosh Cir Ste 101, Joplin, MO 64804-3604 | 2008-05-12 |
1972732386 | Freeman-oak Hill Health System | Prosthetic/Orthotic Supplier | 1102 W 32nd St, Joplin, MO 64804-3503 | 2009-07-07 |
1124227509 | Freeman-oak Hill Health System | Internal Medicine | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 | 2007-07-16 |
1427254838 | Freeman-oak Hill Health System | Family Medicine | 336 S Jefferson St, Neosho, MO 64850-1769 | 2007-06-22 |
1396889606 | Freeman-oak Hill Health System | Internal Medicine | 310 2nd Ave Sw, Miami, OK 74354-6743 | 2007-02-19 |
1780747097 | Freeman-oak Hill Health System | General Acute Care Hospital | 1102 West 32nd Street, Joplin, MO 64804-3599 | 2006-12-18 |
1073627584 | Freeman-oak Hill Health System | Psychiatric Unit | 932 E 34th St, Joplin, MO 64804-3932 | 2006-08-19 |
1083728869 | Freeman-oak Hill Health System | Home Health | 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 |
1083728026 | Freeman-oak Hill Health System | Rehabilitation Unit | 932 E 34th St, Joplin, MO 64804-3932 | 2006-08-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oklahoma Business Registrations | FREEMAN-OAK HILL HEALTH SYSTEM | 1102 W 32nd St, Joplin, MO 64804 |
Street Address |
1102 W 32ND ST |
City | JOPLIN |
State | MO |
Zip Code | 64804-3503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255334777 | Christopher Ryan Longnecker | Internal Medicine | 1102 W 32nd St, Suite 300, Joplin, MO 64804-3503 | 2005-05-30 |
1710596580 | Zachary Palumbo | Registered Nurse | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-07-28 |
1346866746 | Nina D Pinjala | Emergency Medicine | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-22 |
1154947935 | Steven Musili Mwanzia | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-06-17 |
1326662248 | Thomas D Hardwicke | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-05 |
1194349266 | Seth Miller | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-06-03 |
1063035731 | Jacob Cherry | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-05-28 |
1831712108 | Justin Orren | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-21 |
1508489121 | Ashley Ryder | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
1962025585 | Zachary Vincent | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
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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 |
Find all providers in zip 64804 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821234717 | Clinton J. Pace Jr. | Surgery | 100 Mercy Way Ste 440, Joplin, MO 64804-4524 | 2008-12-23 |
1588631402 | Alan M Buchele | Surgery | 1020 Mcintosh Cir Ste 201, Joplin, MO 64804-3689 | 2006-03-01 |
1740487552 | Danny T Liu | Surgery | 3020 Saint Johns Blvd, Ste F, Joplin, MO 64804-1564 | 2007-06-27 |
1295945681 | Charles Youngho Ro | Surgery | 100 Mercy Way, Joplin, MO 64804-4524 | 2007-05-23 |
1790992261 | Kenneth Leroy Watts | Surgery | 3020 Saint Johns Blvd, Suite F, Joplin, MO 64804-1564 | 2007-05-16 |
1487867602 | David L Baker | Surgery | 3302 Mcintosh Cir, Joplin, MO 64804-3648 | 2007-05-07 |
1811039621 | David E Hargroder | Surgery | 2700 Mcclelland Blvd, Suite 108 Bldg A, Joplin, MO 64804-1623 | 2007-02-12 |
1487688370 | Brock Carney | Surgery | 1020 Mcintosh Circle, Ste 102, Joplin, MO 64804 | 2006-07-10 |
1104850098 | Kurtis Cox | Surgery | 1020 Mcintosh Circle, Ste 102, Joplin, MO 64804 | 2006-07-10 |
1932133840 | Robert Willcoxon | Surgery | 1020 Mcintosh Circle, Ste 102, Joplin, MO 64804 | 2006-07-10 |
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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.