DR. GARY WARREN HAMLIN (NPI# 1295936292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295936292 |
| Entity Type | Individual |
| Full Name | DR. GARY WARREN HAMLIN |
| Credential | D.O. |
| Practice Address |
101 N Range Line Rd Northpark Mall Ste 246 Joplin MO 64801-4118 |
| Mailing Address |
Po Box 1300 Joplin MO 64802-1300 |
| Practice Telephone | 4177814250 |
| Practice Fax Number | 4177815544 |
| Mailing Telephone | 4177814250 |
| Mailing Fax Number | 4177815544 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | 34816 | MO | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 34816 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BH1829285 | 01 | |
| NBEOPS BOARD CERTIFIED | 2134 | 01 | |
| MO | LICENSE NO. | 34816 | 01 |
| ACOEP BOARD CERTIFIED | 1009 | 01 | |
| MO | BNDD | 32246 | 01 |
| ACOFP BOARD CERTIFIED | 7850 | 01 |
| Street Address |
101 N RANGE LINE RD NORTHPARK MALL STE 246 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-4118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760482228 | Jolene Fenske | Optometrist | 101 N Range Line Rd, Northpark Eyecare, Ste.186, Joplin, MO 64801-4118 | 2005-07-27 |
| 1467537407 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 101 N Range Line Rd, Space 346, Joplin, MO 64801-4118 | 2006-10-26 |
| 1104831825 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 101 N Range Line Rd, Joplin, MO 64801-4118 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649427352 | Jason Lee Kent | Emergency Medicine | 3018 Abigail Lane, Joplin, MO 64804 | 2008-08-25 |
| 1326127176 | Douglas C Richards | Emergency Medicine | 220 Fox Fire Lane, Joplin, MO 64801-1577 | 2006-11-03 |
| 1912092818 | John David Keitz | Emergency Medicine | 95 Garden Ln, Joplin, MO 64801-9114 | 2006-10-04 |
| 1922115310 | Chad A Boulware | Emergency Medicine | 1102 W 32nd St., Joplin, MO 64804 | 2006-08-23 |
| 1417061664 | Paula J Hartzell | Emergency Medicine | 1102 W. 32nd St., Joplin, MO 64804 | 2006-08-17 |
| 1477560712 | Jimmy D Morgan | Emergency Medicine | 1717 S Range Line Rd Ste B, Joplin, MO 64804-3224 | 2006-08-01 |
| 1669404992 | Stanley A Mounts | Emergency Medicine | 2727 Mc Clelland Blvd, Joplin, MO 64804-1626 | 2006-07-07 |
| 1346283892 | David K Hagedorn | Emergency Medicine | 3315 Mcintosh Cir, Joplin, MO 64804-3649 | 2006-06-13 |
| 1639142151 | John F Wilson | Emergency Medicine | 1130 E 32nd St, Joplin, MO 64804-4034 | 2006-02-08 |
| 1427674878 | Christina Marie Schramm | Emergency Medicine | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-06-22 |
| Find all providers in JOPLIN | ||||
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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.