GASTROENTEROLOGY OF THE FOUR STATES,LLC (NPI# 1316589708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316589708 |
| Entity Type | Organization |
| Organization Name | GASTROENTEROLOGY OF THE FOUR STATES,LLC |
| Practice Address |
2024 S Maiden Ln Ste 204 Joplin MO 64804-0319 |
| Mailing Address |
Po Box 4439 Joplin MO 64803-4439 |
| Practice Telephone | 4172223434 |
| Practice Fax Number | 4172223435 |
| Mailing Telephone | 4172140034 |
| Mailing Fax Number | 4172223435 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | NADIA L SINNETT (OFFICE MANAGER) |
| Authorized Official Telephone | 4172223434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
2024 S MAIDEN LN STE 204 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-0319 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1760705925 | Larry Deffenbaugh, Do,pc | Internal Medicine | 1905 W. 32nd St. Suite 302, Joplin, MO 64804 | 2010-03-02 |
| 1285845339 | Charbel I Maksoud | Internal Medicine | 3333 Mcintosh Cir, Ste 3, Joplin, MO 64804-3649 | 2007-05-24 |
| 1578509527 | David A Seidl | Internal Medicine | 1020 Mcintosh Cir Ste 203, Joplin, MO 64804-3689 | 2006-06-20 |
| 1295985968 | Ozark Gastroenterology, Inc | Internal Medicine | 2216 E 32nd Street, Ste 103, Joplin, MO 64804 | 2008-09-30 |
| 1164687224 | Rangan Murali | Internal Medicine | 100 Mercy Way, Ste 460, Joplin, MO 64804-4524 | 2008-07-28 |
| 1215100961 | Digestive Health Professionals LLC | Internal Medicine | 2216 E 32nd St, Suite 201, Joplin, MO 64804-3016 | 2008-04-02 |
| 1346395852 | Sudhakar Ancha | Internal Medicine | 2216 E 32nd St, Ste 103, Joplin, MO 64804-3016 | 2007-01-24 |
| 1679686182 | Southwest Gastroenterology, LLC | Internal Medicine | 2817 Mc Clelland Blvd, Suite 153, Joplin, MO 64804-1629 | 2006-08-17 |
| 1720022148 | Freeman-oak Hill Health System | Internal Medicine | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-06-15 |
| 1235117425 | Xujun Wu | Internal Medicine | 2817 Mc Clelland Blvd, Suite 215, Joplin, MO 64804-1629 | 2006-01-06 |
| 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.