DR. GRETCHEN DENISE SHULL (NPI# 1689621336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689621336 |
| Entity Type | Individual |
| Full Name | DR. GRETCHEN DENISE SHULL |
| Credential | M.D. |
| Practice Address |
100 Mercy Way Ste 580 Joplin MO 64804-4524 |
| Practice Telephone | 4175568555 |
| Practice Fax Number | 4175568553 |
| Mailing Telephone | 4175568555 |
| Mailing Fax Number | 4175568553 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2016-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 31728 | KS | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2009008010 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200252390A | 05 | |
| MO | RAIL ROAD MEDICARE | P00800435 | 01 |
| MO | 1689621336 | 05 | |
| KS | 200377150F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699290783 | Gretchen Shull | Physician Assistant | 100 Innovation Dr Ste 103, Slippery Rock, PA 16057-2468 | 2017-08-09 |
| 1376871160 | Gretchen S. Shull | Nurse Practitioner | 2500 N State St, University Physicians, Jackson, MS 39216-4500 | 2009-12-07 |
| Street Address |
100 MERCY WAY STE 580 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378693 | Ajit S Nagra | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2005-07-06 |
| 1538782537 | Ruby Nicole Tollison | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-05-26 |
| 1801416508 | Kristina Marie Crosby | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-22 |
| 1023637071 | Casey Lane Truitt | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-09 |
| 1346878485 | Matthew Zachary Wohlfahrt | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-01 |
| 1801436779 | Lindsay Marcy | Nurse Practitioner | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-01-08 |
| 1548811219 | Kayley Myers | Dietitian, Registered | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-09-24 |
| 1992367502 | Kendrick R Maus | Nurse Practitioner | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-07-03 |
| 1669036075 | Morgan Gilkerson | Nurse Anesthetist, Certified Registered | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-05-01 |
| 1831655745 | Sue Ann Denney | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-02-15 |
| Find all providers in the same location | ||||
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1427468164 | Naser Eddin Munir Naser Gharaibeh | Internal Medicine | 100 Mercy Way Ste 580, Joplin, MO 64804-4524 | 2014-05-03 |
| 1811143944 | Allison Lea Galloway | Internal Medicine | 1532 W 32nd St, Ste 402, Joplin, MO 64804-1607 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811467053 | Missouri Obesity Center,llc | Internal Medicine | 1601 E Broadway Ste 160, Columbia, MO 65201-5821 | 2018-11-30 |
| 1306144506 | James Neal Greene | Internal Medicine | 1259 Pine Dr, Mount Vernon, MO 65712-0145 | 2011-03-11 |
| 1285944850 | Richardson Endocrine Care LLC | Internal Medicine | 2865 Netherton Drive, St Louis, MO 63136-4674 | 2010-10-18 |
| 1992019921 | Jonathan David Bortz | Internal Medicine | 8117 Stanford Ave, Saint Louis, MO 63130-3617 | 2010-08-02 |
| 1750543518 | Gurkiran Dhindsa | Internal Medicine | 1023 Executive Parkway Dr Ste 2, Creve Coeur, MO 63141-6323 | 2008-07-01 |
| 1538289343 | Rojanasathit,m.d.p.c. | Internal Medicine | 11155 Dunn Rd Ste 201e, Saint Louis, MO 63136-6149 | 2007-03-29 |
| 1245372226 | Robert Charles Packman | Internal Medicine | 34 Oak Park Dr, Creve Coeur, MO 63141-8428 | 2007-02-13 |
| 1528131711 | Zdzislaus Joseph Wanski | Internal Medicine | 1150 State Hwy 248 Suite 102, Branson, MO 65616 | 2006-11-16 |
| 1396840583 | Lavonne A Berg | Internal Medicine | 1551 N. Oakland, Bolivar, MO 65613 | 2006-09-13 |
| 1780788976 | Somkietr Rojanasathit | Internal Medicine | 11155 Dunn Road, Suite 201e, St. Louis, MO 63136 | 2006-09-11 |
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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.