4 CORNERS PAIN RELIEF INSTITUTE, LLC
NPI 1033409198
Anesthesiology - Pain Medicine in Joplin, MO

NPI Status: Active since April 11, 2011

Contact Information

2650 E 32ND ST
SUITE 101
JOPLIN, MO
ZIP 64804
Phone: (417) 624-4277
Fax: (417) 624-4297

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  • Organization
  • Anesthesiology
  • Pain Medicine
  • Accepts Insurance
  • CLIA Number: 26D2027299
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-20-2027

About 4 CORNERS PAIN RELIEF INSTITUTE, LLC

This page provides the complete NPI Profile along with additional information for 4 Corners Pain Relief Institute, Llc, a provider established in Joplin, Missouri operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1033409198 assigned on April 2011. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as 4 Corners Pain Relief Institute, Llc. The authorized official of this NPI record is Dr. John Knudsen Iii Md (Owner)

NPI
1033409198
Provider Legal Name
FOUR STATES PAIN RELIEF INSTITUTE, LLC
Other Organization Name
4 CORNERS PAIN RELIEF INSTITUTE, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2650 E 32ND ST SUITE 101 JOPLIN, MO 64804
Location Phone
(417) 624-4277
Location Fax
(417) 624-4297
Mailing Address
1515 E 32ND ST STE B JOPLIN, MO 64804
Mailing Phone
(417) 624-4277
Mailing Fax
(417) 624-4297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2011
Last Update Date
08-08-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - EPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - EPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - EPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - EPO
  • Balance by Medica Silver Standard - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN KNUDSEN III MD

Authorized Official Title
OWNER
Authorized Official Phone
(417) 624-4277

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2027299
Facility Type
Physician Office
Certificate Effective Date
July 21, 2025
Certificate Expiration Date
July 20, 2027
Laboratory Director
JOHN KNUDSEN III
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to 4 Corners Pain Relief Institute, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033409198, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 8 + 0 + 1 + 8 + 1 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1033409198.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
2650 E 32ND ST, SUITE 221
JOPLIN, MO 64804
Social Worker (Clinical)
2650 E 32ND ST, SUITE 221
JOPLIN, MO 64804
Psychologist (Clinical)
2650 E 32ND ST, SUITE 221
JOPLIN, MO 64804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033409198, enumerated as an "organization" on April 11, 2011.

The provider is located at 2650 E 32ND ST SUITE 101 JOPLIN, MO 64804 and the phone number is (417) 624-4277.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.