HENRY D. PETRY (NPI# 1770568164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770568164 |
| Entity Type | Individual |
| Full Name | HENRY D. PETRY |
| Credential | DO |
| Practice Address |
931 E 32nd St Joplin MO 64804-2808 |
| Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
| Practice Telephone | 4173474374 |
| Mailing Telephone | 4173474374 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2011-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
31192 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 240027425 | 05 |
| Street Address |
931 E 32ND ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940011 | Jennifer M Berry | Social Worker | 931 E 32nd St, Joplin, MO 64804-2878 | 2020-07-28 |
| 1710267539 | Lea Ann Tyler | Nurse Practitioner | 931 E 32nd St, Joplin, MO 64804-2878 | 2011-08-24 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164781035 | Carlyn Molstad Kline | Family Medicine | 17 Stonecrest, St. Joseph, MO 64506-3126 | 2012-05-11 |
| 1730346230 | Ltc Consultants LLC | Family Medicine | 16201 Bluegrass Ct, Belton, MO 64012-3342 | 2008-05-21 |
| 1487853750 | Susan E. Pearson, LLC | Family Medicine | 6209 Midrivers Mall Dr, #317, St Charles, MO 63304-1102 | 2007-07-16 |
| 1356476071 | Thomas M Macdonnell | Family Medicine | 665 State Highway J, Marshfield, MO 65706-8253 | 2007-02-22 |
| 1538232772 | Randall D. Huss | Family Medicine | 910 W 10th St, Rolla, MO 65401-2904 | 2006-11-16 |
| 1750464723 | Nevada Lee | Family Medicine | 6317 Evanston Ave, Raytown, MO 64133-4929 | 2006-10-23 |
| 1447361977 | Richard O Schamp | Family Medicine | 6255 San Bonita Ave, Saint Louis, MO 63105-3210 | 2006-08-31 |
| 1265546923 | Patricia Sue Inman | Family Medicine | 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4834 | 2006-08-19 |
| 1770546665 | Kerr Healthcare Services LLC | Family Medicine | 11851 Arbor Cir, Rolla, MO 65401-7476 | 2006-04-11 |
| 1831152370 | Jeffery Alan Kerr | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2006-04-07 |
| 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.