ST JOHNS REGIONAL MEDICAL CENTER
NPI 1093802811
Family Medicine in Joplin, MO

NPI Status: Active since October 05, 2006

Contact Information

2727 MCCLELLAND BLVD
JOPLIN, MO
ZIP 64804
Phone: (417) 781-2727
Fax: (417) 625-2910

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  • Organization
  • Family Medicine

About ST JOHNS REGIONAL MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for St Johns Regional Medical Center, a primary care provider established in Joplin, Missouri operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1093802811 assigned on October 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. St Johns Regional Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Walter C Dandridge Jr. Md (Interim Chief Medical Officer)

NPI
1093802811
Provider Name
ST JOHNS REGIONAL MEDICAL CENTER
Entity Type
Organization
Location Address
2727 MCCLELLAND BLVD JOPLIN, MO 64804
Location Phone
(417) 781-2727
Location Fax
(417) 625-2910
Mailing Address
PO BOX 1240 JOPLIN, MO 64802
Mailing Phone
(417) 627-8930
Mailing Fax
(417) 625-2910
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2006
Last Update Date
06-16-2009
Code Navigator

A primary care provider (PCP) like St Johns Regional Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

 
2204E00000XAllopathic & Osteopathic Physicians

Oral & Maxillofacial Surgery

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
5207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
62080A0000XAllopathic & Osteopathic Physicians

Pediatrics
Adolescent Medicine

 
72084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
8231H00000XSpeech, Language and Hearing Service Providers

Audiologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. WALTER C DANDRIDGE JR. MD

Authorized Official Title
INTERIM CHIEF MEDICAL OFFICER
Authorized Official Phone
(417) 625-2232

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100693700BOTHER (01)OKLAHOMA MEDICAID
007750OTHER (01)KSFAMILY HEALTH PARTNERS
=========OTHER (01)MOTRICARE
540564507MEDICAID (05)MO 
000260001001OTHER (01)OKBLUE CROSS OF OKLAHOMA
200900OTHER (01)MDBLACK LUNG
101PD001OTHER (01)MOMO BLUE CROSS
50051MEDICARE ID-TYPE UNSPECIFIED (04) 
440548809OTHER (01)MORAILROAD MEDICARE
100000880COTHER (01)KANSAS MEDICAID

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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 1093802811, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 9 → 18 → 9 8 → 16 → 7 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 6 + 0 + 4 + 8 + 2 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1093802811.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Nurse Anesthetist, Certified Registered
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Specialist/Technologist (Athletic Trainer)
2727 MCCLELLAND BLVD, SPORTSCARE
JOPLIN, MO 64804
Anesthesiology
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Emergency Medicine
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Clinic/Center (Radiology)
2727 MCCLELLAND BLVD, DEPARTMENT OF RADIOLOGY
JOPLIN, MO 64804
General Acute Care Hospital
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Internal Medicine (Hematology & Oncology)
2727 MCCLELLAND BLVD, SUITE 1
JOPLIN, MO 64804
Physical Therapist
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Physical Therapist
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Physical Therapy Assistant
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Anesthesiology
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Speech-Language Pathologist
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Specialist/Technologist (Athletic Trainer)
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Registered Nurse
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Occupational Therapist
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Occupational Therapist
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Physical Therapist
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Speech-Language Pathologist
2727 MCCLELLAND BLVD
JOPLIN, MO 64804
Pathology (Anatomic Pathology & Clinical Pathology)
2727 MCCLELLAND BLVD, ST. JOHN'S REGIONAL MED CTR PATHOLOGY DEPT
JOPLIN, MO 64804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093802811, enumerated as an "organization" on October 05, 2006.

The provider is located at 2727 MCCLELLAND BLVD JOPLIN, MO 64804 and the phone number is (417) 781-2727.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Tricare, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.