PHILIP SLOCUM (NPI# 1275889826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275889826 |
Entity Type | Individual |
Full Name | PHILIP SLOCUM |
Credential | DO |
Practice Address |
1111 Mcintosh Cir Ste 302 Joplin MO 64804-3615 |
Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
Practice Telephone | 4173478315 |
Mailing Telephone | 4173478315 |
Enumeration Date | 2012-08-01 |
Last Update Date | 2016-04-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
44373 | TX | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
200200143 | MO | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
44373 | TX | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
200200143 | MO | Allopathic & Osteopathic Physicians |
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
200200143 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 8ED501 | 01 |
TX | 329061101 | 05 | |
TX | RAILROAD MEDICARE | P01447536 | 01 |
Street Address |
1111 MCINTOSH CIR STE 302 |
City | JOPLIN |
State | MO |
Zip Code | 64804-3615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598984791 | Waqas A Chishti | Internal Medicine | 1111 Mcintosh Cir, Suite 302, Joplin, MO 64804-3645 | 2007-04-25 |
1649801952 | Joseph Ray Pence | Physician Assistant | 1111 Mcintosh Cir, Joplin, MO 64804-3615 | 2020-01-27 |
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 | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477719284 | Landmark Hospital of Joplin, LLC | Internal Medicine | 2040 W 32nd St, Joplin, MO 64804-3512 | 2008-07-31 |
1598984791 | Waqas A Chishti | Internal Medicine | 1111 Mcintosh Cir, Suite 302, Joplin, MO 64804-3645 | 2007-04-25 |
1639274178 | Navid S Zaidi Md | Internal Medicine | 2617 Cunningham Ave, Joplin, MO 64804-1543 | 2006-09-13 |
1700980232 | Navid S Zaidi | Internal Medicine | 1002 Mcintosh Cir Ste 4, Joplin, MO 64804-3600 | 2006-09-13 |
1811331192 | Yashwanth Yerramalla | Internal Medicine | 1002 Mcintosh Cir Ste 4, Joplin, MO 64804-3600 | 2013-04-17 |
1952622631 | Southwestern Pulmonology Clinic, LLC | Internal Medicine | 2727 E 32nd St, Ste 3, Joplin, MO 64804-3164 | 2010-06-17 |
1942493549 | Toufic Tony Saad | Internal Medicine | 3020 Saint Johns Blvd, Ste B, Joplin, MO 64804-1564 | 2007-08-27 |
1154543999 | Festus A Ndukwu | Internal Medicine | 2727 E 32nd St, Ste 3, Joplin, MO 64804-3164 | 2007-05-02 |
1649275876 | Guy M Grabau | Internal Medicine | 1102 W 32nd St, Joplin, MO 64804-3503 | 2005-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700365707 | Telemedico Physicians of Missouri | Internal Medicine | 9191 N Ambassador Dr, Kansas City, MO 64154-7247 | 2018-08-09 |
1851807291 | David Terry Curiel | Internal Medicine | 4950 Childrens Pl Ste 10130, Saint Louis, MO 63110-1000 | 2017-12-21 |
1598011694 | Mohannad Naheid I Abu Omar | Internal Medicine | 5301 Faraon St Ste 210a, Saint Joseph, MO 64506-3512 | 2012-07-26 |
1922381615 | Critical Care Pulmonary & Sleep Medicine Assoc LLC | Internal Medicine | 1390 Highway 61 Ste 2300, Festus, MO 63028-4121 | 2011-09-20 |
1851671689 | Mid-mo Lung Associates, LLC | Internal Medicine | 1801 Brookfield Mnr, Columbia, MO 65203-6246 | 2011-08-24 |
1245535459 | Midwest Acute Care Consultants, PC | Internal Medicine | 6698 Keaton Corporate Pkwy Ste 101, O Fallon, MO 63368-8727 | 2011-01-19 |
1699083451 | Hamza Alshami | Internal Medicine | 2330 E Meyer Blvd Ste T303, Kansas City, MO 64132-1160 | 2010-09-15 |
1447404561 | Pulmonary Specialists of The Ozarks, LLC | Internal Medicine | 2733 E Battlefield Rd, Springfield, MO 65804 | 2008-11-17 |
1841448198 | Pulmonary Critical Care and Sleep Medicine, LLC | Internal Medicine | 3009 New Ballas Road, Suite 256c, St. Louis, MO 63131-2322 | 2008-08-28 |
1366698573 | Steven Weintraub | Internal Medicine | 4475 W Pine Blvd, 1102, Saint Louis, MO 63108-2358 | 2008-08-07 |
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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.