St Johns Regional Medical Center in Joplin - Oral & Maxillofacial Surgery
St Johns Regional Medical Center - NPI 1093802811
St Johns Regional Medical Center is a Oral & Maxillofacial Surgery in Joplin, Missouri. St Johns Regional Medical Center practices all healthcare services and medical treatments related to Oral & Maxillofacial Surgery. The NPI Number for St Johns Regional Medical Center is 1093802811. The last update date is 2009-06-16.
St Johns Regional Medical Center's current location address is 2727 Mcclelland Blvd, Joplin, Missouri. You can contact this provider via phone number 4177812727 and fax number 4176252910. The mailing address for St Johns Regional Medical Center is 2727 Mcclelland Blvd, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Johns Regional Medical Center |
|---|---|
| Address | 2727 Mcclelland Blvd, Joplin, Missouri |
| Phone Number | 4177812727 |
| Fax Number | 4176252910 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM CH |
|---|---|
| Authorized Official Name | Dandridge C Walter |
| Credentials | MD |
| Telephone Number | 4176252232 |
NPI Number Detail
| NPI Number | 1093802811 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2009-06-16 |
Provider Mailing Address Detail
| Address | 2727 Mcclelland Blvd |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648041695 |
| Phone Number | 4177812727 |
| Fax Number | 4176252910 |
Provider's Primary Taxonomy Detail
| Speciality | Oral & Maxillofacial Surgery |
|---|---|
| Taxonomy | 204E00000X |
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Definition: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 260001001 | OK | BLUE CROSS OF OKLAHOMA | |
| 100000880C | KANSAS MEDICAID | ||
| 200900 | MD | BLACK LUNG | |
| 540564507 | MO | -- | |
| 100693700B | OKLAHOMA MEDICAID | ||
| 101PD001 | MO | MO BLUE CROSS | |
| 7750 | KS | FAMILY HEALTH PARTNERS | |
| 440548809 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the St Johns Regional Medical Center's unique identification number?
The St Johns Regional Medical Center has been assigned the NPI (National Provider Identifier) Number 1093802811 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the St Johns Regional Medical Center located?
The St Johns Regional Medical Center is located at 2727 Mcclelland Blvd, Joplin, MO 648041695.
What is St Johns Regional Medical Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for St Johns Regional Medical Center is Oral & Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 204E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093802811 to St Johns Regional Medical Center?
The Centers for Medicare & Medicaid Services originally issued the 1093802811 to St Johns Regional Medical Center on 2006-10-05.
When was the St Johns Regional Medical Center's information last updated?
The St Johns Regional Medical Center's information was last updated on 2009-06-16.