ST. JOHN'S MEDICAL GROUP (NPI# 1962438457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962438457 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S MEDICAL GROUP |
| Practice Address |
445 E 10th St Baxter Springs KS 66713-1614 |
| Mailing Address |
2631 Cunningham Ave Suite A Joplin MO 64804-1543 |
| Practice Telephone | 6208563469 |
| Practice Fax Number | 6208565330 |
| Mailing Telephone | 4176278967 |
| Mailing Fax Number | 4176278951 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAUL EBMEIER (COO) |
| Authorized Official Telephone | 4176278967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710923636 | St. John's Medical Group | Clinic/Center | 805 Barker Dr, Oswego, KS 67356-9034 | 2006-06-20 |
| 1376579565 | St. John's Medical Group | Clinic/Center | 307 N Hospital Dr, Suite 5, Girard, KS 66743-2014 | 2006-06-23 |
| 1700821899 | St. John's Medical Group | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2006-06-20 |
| 1255388039 | St. John's Medical Group | Internal Medicine | 2711 S Rouse St, Suite C, Pittsburg, KS 66762-6620 | 2006-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | ST. JOHN'S MEDICAL GROUP | Attn: Jane Obert, 2727 Mcclelland Blvd, Joplin, MO 64804 |
| Street Address |
445 E 10TH ST |
| City | BAXTER SPRINGS |
| State | KS |
| Zip Code | 66713-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588601843 | Tyson L. Burden | Internal Medicine | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2006-06-02 |
| 1063925303 | Legacy Living | Custodial Care Facility | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2017-11-08 |
| 1134437411 | Crystal Marie Taylor | Nurse Practitioner | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2010-09-20 |
| 1366680126 | Burden Medical Clinic LLC | Clinic/Center | 445 E 10th St, Baxter Springs, KS 66713-1614 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144266859 | James C Eaton | Family Medicine | 322 E 11th St, Baxter Springs, KS 66713 | 2006-06-21 |
| 1376637157 | Cherokee County Ambulance Assoc. Dist. IIi | Ambulance | 311 Military Avenue, Baxter Springs, KS 66713-0137 | 2006-10-03 |
| 1629465109 | Monarch Pharmacy | Pharmacy | 1111 Military Ave, Baxter Springs, KS 66713-1509 | 2015-04-22 |
| 1154875714 | Kelly Barnes | Pharmacist | 1111 Military Ave, Baxter Springs, KS 66713-1509 | 2016-08-11 |
| 1457392888 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 Military Ave, Baxter Springs, KS 66713-1547 | 2006-06-09 |
| 1417569930 | Carissa Christie | Pharmacist | 1000 Military Ave, Baxter Springs, KS 66713-1547 | 2020-08-17 |
| 1376791335 | Spring Valley Regional Center for Youth, Inc. | Private Vehicle | 217 E 14th St, Baxter Springs, KS 66713-1804 | 2008-09-03 |
| 1477786721 | Baxter Springs Usd508 | Local Education Agency (LEA) | 1520 Cleveland Ave, Baxter Springs, KS 66713-1840 | 2009-09-02 |
| 1053423905 | Wolkar Drug Inc | Pharmacy | 1920 Military Ave, Baxter Springs, KS 66713-2039 | 2006-08-31 |
| 1689288391 | Brian Douglas Caswell | Pharmacy | 1920 Military Ave, Baxter Springs, KS 66713-2039 | 2020-09-01 |
| Find all providers in zip 66713 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
| 1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
| 1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
| Find all providers with the same taxonomy | ||||
| City | BAXTER SPRINGS |
| Zip Code | 66713 |
Please comment or provide details below to improve the information on ST. JOHN'S MEDICAL GROUP.
| 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.