WILLIAM J. KLONTZ M.D. INC. (NPI# 1871568188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871568188 |
| Entity Type | Organization |
| Organization Name | WILLIAM J. KLONTZ M.D. INC. |
| Practice Address |
1905 W 32nd St Ste 208 Joplin MO 64804-1529 |
| Mailing Address |
4119 Woodcrest Ct Joplin MO 64804-4567 |
| Practice Telephone | 4177817337 |
| Practice Fax Number | 4177819093 |
| Mailing Telephone | 4177817337 |
| Mailing Fax Number | 4177819093 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-09-17 |
| Authorized Official Name | DR. WILLIAM J KLONTZ (PRESIDENT) |
| Authorized Official Telephone | 4177817337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R4D32 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201882701 | 05 | |
| MO | RAILROAD MEDICARE | 260013209 | 01 |
| Street Address |
1905 W 32ND ST STE 208 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657490 | Terry J Richardson | Social Worker | 1905 W 32nd St, Ste 305, Joplin, MO 64804-1512 | 2005-05-23 |
| 1518356583 | Natasha Byrd | Nurse Practitioner | 1905 W 32nd St, Ste 403, Joplin, MO 64804-1529 | 2015-01-14 |
| 1235553611 | Kimberle S Patterson | Nurse Practitioner | 1905 W 32nd St, Suite 306, Joplin, MO 64804-1529 | 2014-02-06 |
| 1649691593 | Christina Holmes | Dietitian, Registered | 1905 W 32nd St, Ste 304, Joplin, MO 64804-1529 | 2013-12-19 |
| 1265866917 | Christa Torrisi | Nurse Practitioner | 1905 W 32nd St, Ste 302, Joplin, MO 64804-1529 | 2013-08-29 |
| 1063725380 | Gulshan Uppal | Psychiatry & Neurology | 1905 W 32nd St, Ste 403, Joplin, MO 64804-1529 | 2010-07-15 |
| 1437487790 | Damour Family Medicine | Family Medicine | 1905 W 32nd St, Suite 303, Joplin, MO 64804-1529 | 2009-11-25 |
| 1841429909 | Blankenship Internal Medicine, L.L.C. | Internal Medicine | 1905 W 32nd St, Ste. 407, Joplin, MO 64804-1529 | 2009-07-10 |
| 1467637769 | Hublall Radiology, LLC | Radiology | 1905 W 32nd St, Joplin, MO 64804-1529 | 2008-01-04 |
| 1659576734 | Roselyn Marie Mostert | Counselor | 1905 W 32nd St, Joplin, MO 64804-1529 | 2007-06-18 |
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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 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881766707 | Oscar H Gonzalez | Psychiatry & Neurology | 2509 Jackson Street, Joplin, MO 64804 | 2006-11-15 |
| 1336218320 | Scarlett Florence Custer | Psychiatry & Neurology | 932 E. 34th Street, Joplin, MO 64804-3932 | 2006-11-06 |
| 1194810184 | Modaser - Shah | Psychiatry & Neurology | 530 E 34th St., Joplin, MO 64803-2526 | 2006-10-04 |
| 1891807285 | Jeffrey Shane Bradley | Psychiatry & Neurology | 530 E 34th St, Joplin, MO 64804-3926 | 2006-08-31 |
| 1467489450 | Steven Kory | Psychiatry & Neurology | 1002 Mcintosh Circle, Ste 4, Joplin, MO 64804 | 2006-06-27 |
| 1083671333 | Brandon D. Riesenmy | Psychiatry & Neurology | 2001 S Connor Ave, Joplin, MO 64804-1841 | 2006-04-28 |
| 1316923436 | Asadullah Ahmed | Psychiatry & Neurology | 1800 W 30th St, Joplin, MO 64804-1520 | 2005-12-20 |
| 1629051123 | James Orlando IIi | Psychiatry & Neurology | 5615 W. 32nd, Joplin, MO 64804 | 2005-11-29 |
| 1922001635 | William Joseph Klontz | Psychiatry & Neurology | 5615 W 32nd St, Joplin, MO 64804-8161 | 2005-05-27 |
| 1407472145 | Matthew Krahl | Psychiatry & Neurology | 932 E 34th St, Joplin, MO 64804-3932 | 2020-06-18 |
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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.