FREEMAN OAK HILL HEALTH SYSTEM (NPI# 1194972869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194972869 |
| Entity Type | Organization |
| Organization Name | FREEMAN OAK HILL HEALTH SYSTEM |
| Other Organization Name | PINK DOOR BOUTIQUE |
| Practice Address |
1532 W 32nd St Suite 102 Joplin MO 64804-1607 |
| Practice Telephone | 4173477465 |
| Practice Fax Number | 4173476465 |
| Mailing Telephone | 4173477465 |
| Mailing Fax Number | 4173476465 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | CHRIS WALKER (DIR OF DURABLE MEDICAL SERVICES) |
| Authorized Official Telephone | 4173477417 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREEMAN HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1194972869 | 05 | |
| OK | 100693570 | 05 |
| Other Name | Type Code |
|---|---|
| Pink Door Boutique | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407942220 | Freeman Oak Hill Health System | Home Health | 3315 Mc Intosh Cir, Joplin, MO 64804-3649 | 2006-10-05 |
| 1043252646 | Freeman Oak Hill Health System | Ambulance | 510 A Park St, Anderson, MO 64831 | 2006-06-11 |
| 1114394228 | Freeman Oak Hill Health System | Clinic/Center | 1636 S Madison St, Webb City, MO 64870-2902 | 2015-08-24 |
| 1033345335 | Freeman Oak Hill Health System | General Acute Care Hospital | 1102 W 32nd St, Joplin, MO 64804-3503 | 2009-06-02 |
| 1265546048 | Freeman Oak Hill Health System | General Acute Care Hospital | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-08-18 |
| 1174637953 | Freeman Oak Hill Health System | Clinic/Center | 932 E 34th St, Joplin, MO 64804-3932 | 2006-08-18 |
| Street Address |
1532 W 32ND ST SUITE 102 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255379970 | Sean R. Hamlett | Internal Medicine | 1532 W 32nd St, Ste 402, Joplin, MO 64804-1607 | 2006-06-03 |
| 1407412406 | Samantha Jo Primm | Nurse Practitioner | 1532 W 32nd St, Joplin, MO 64804-1607 | 2019-05-15 |
| 1093187619 | Jessica Verheyen | Nurse Practitioner | 1532 W 32nd St, Joplin, MO 64804-1607 | 2015-10-22 |
| 1245539816 | Gretchen Rae Stiefel | Obstetrics & Gynecology | 1532 W 32nd St, Ste 201, Joplin, MO 64804-1607 | 2011-03-22 |
| 1992024491 | Susan Rae Myers | Advanced Practice Midwife | 1532 W 32nd St, Ste 201, Joplin, MO 64804-1607 | 2010-05-24 |
| 1811143944 | Allison Lea Galloway | Internal Medicine | 1532 W 32nd St, Ste 402, Joplin, MO 64804-1607 | 2008-08-08 |
| 1215968714 | Sue T Lazarus | Midwife | 1532 W 32nd St, Ste 201, Joplin, MO 64804-1607 | 2006-07-05 |
| 1144257130 | Joyce Clement | Nurse Practitioner | 1532 W 32nd St, Ste 401, Joplin, MO 64804-1607 | 2006-06-27 |
| 1053348045 | Jeffrey Cox | Obstetrics & Gynecology | 1532 W 32nd St, Ste 201, Joplin, MO 64804-1607 | 2006-06-27 |
| 1750318747 | Craig W Chandler | Obstetrics & Gynecology | 1532 W 32nd St, Ste 201, Joplin, MO 64804-1607 | 2006-06-27 |
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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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154734317 | Kessler-heasley Artificial Limb Co. | Prosthetic/Orthotic Supplier | 2312 Connectcut, Joplin, MO 64804-3039 | 2014-06-05 |
| 1992867212 | Donna Jeanne Erisman | Prosthetic/Orthotic Supplier | 3420 Tana St, Joplin, MO 64804-5450 | 2006-12-14 |
| 1598867301 | Riddles Beauty Supply | Prosthetic/Orthotic Supplier | 1917 E 20th St, Joplin, MO 64804-1017 | 2006-09-02 |
| 1740258953 | Progressive Orthotic & Prosthetic Services, Inc. | Prosthetic/Orthotic Supplier | 1531 W 32nd St, Ste 201, Joplin, MO 64804-1611 | 2006-03-14 |
| 1386646537 | Advanced Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 2530 S Maiden Ln, Joplin, MO 64804-0349 | 2005-06-01 |
| 1689090888 | Mercy Clinic Joplin LLC | Prosthetic/Orthotic Supplier | 3126 S Jackson Ave, Ste 200, Joplin, MO 64804-2534 | 2014-03-12 |
| 1972732386 | Freeman-oak Hill Health System | Prosthetic/Orthotic Supplier | 1102 W 32nd St, Joplin, MO 64804-3503 | 2009-07-07 |
| 1184826703 | Lux Orthotics, Inc | Prosthetic/Orthotic Supplier | 1307 W 20th St, Joplin, MO 64804-1700 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355689 | Hair On The Edge | Prosthetic/Orthotic Supplier | 9708 Lackland Rd, Overland, MO 63114-3414 | 2020-10-28 |
| 1427656727 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 755 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8713 | 2020-10-09 |
| 1437783776 | Mager & Gougelman of St. Louis, LLC | Prosthetic/Orthotic Supplier | 1034 S Brentwood Blvd Ste 1880, Richmond Heights, MO 63117-1218 | 2020-02-25 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1407496201 | Ortheco LLC | Prosthetic/Orthotic Supplier | 2907 Independence St Ste D, Cape Girardeau, MO 63703-5027 | 2020-01-09 |
| 1477100717 | Desirae Clark | Prosthetic/Orthotic Supplier | 5100 Lydia Ave, Kansas City, MO 64110-2608 | 2019-08-21 |
| 1720540313 | Axes Physical Therapy, LLC | Prosthetic/Orthotic Supplier | 754 Luetkenhaus Blvd, Wentzville, MO 63385-3515 | 2019-04-02 |
| 1093272460 | Axes Physical Therapy I, LLC | Prosthetic/Orthotic Supplier | 2018 Phoenix Center Dr, Washington, MO 63090-5544 | 2019-02-21 |
| 1215400312 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 4801 Main St Ste 220, Kansas City, MO 64112-2929 | 2019-01-10 |
| 1649778382 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 50 Crestwood Executive Ctr Ste 315, Saint Louis, MO 63126-1900 | 2018-01-29 |
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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.