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NORTHWEST MISSOURI STATE
NPI 1225310204
Family Medicine in Maryville, MO

Active since September 15, 2011
800 UNIVERSITY DRIVE, MARYVILLE, MO 64468(660) 562-1313 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 21, 2022, Feb 4, 2022 (2 updates tracked since 2022).

About Northwest Missouri State NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST MISSOURI STATE (NPI 1225310204) is a healthcare organization registered as a family medicine in Maryville, Missouri and active in the NPI registry since September 2011. The organization lists Matthew Cannella, Head Athletic Trainer, as its authorized official.

NPPES Registry Identity

NPI1225310204
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHWEST MISSOURI STATE UNIVERSITY
Location Address800 UNIVERSITY DRIVEMaryville, MO 64468
Mailing Address800 University DriveMaryville, MO 64468 · (660) 562-1313
Phone(660) 562-1313
Organization SubpartNo
Authorized OfficialMatthew CannellaHead Athletic Trainer · (660) 562-1313
Enumeration DateSeptember 15, 2011
Last NPPES UpdateFebruary 21, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2022
✔ NPI 1225310204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
800 UNIVERSITY DRIVE, Maryville, MO 64468
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Other Names 1

Doing Business AsNorthwest Missouri State

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWEST MISSOURI STATE UNIVERSITY
Clinic/Center (Student Health)
800 UNIVERSITY DRIVE
MARYVILLE, MO 64468
Nodaway County (660) 562-1348

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Missouri State University's NPI number?

The NPI number for Northwest Missouri State University is 1225310204. It was assigned to this organization in the NPPES registry on September 15, 2011. The provider is doing business as Northwest Missouri State.

Where is Northwest Missouri State University located?

Northwest Missouri State University is located at 800 University Drive, Maryville, MO 64468. The listed phone number is (660) 562-1313.

What is Northwest Missouri State University's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Northwest Missouri State University accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Northwest Missouri State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Missouri State University was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.