ST JOSEPH SPECIALTY CLINIC PC
NPI 1962424895
Surgery in Bethany, MO

Q: What is St Joseph Specialty Clinic PC's NPI number?

The NPI number for St Joseph Specialty Clinic PC is 1962424895. It was assigned to this organization in the NPPES registry on July 23, 2006.

Q: What is St Joseph Specialty Clinic PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 23, 2006

2600 MILLER ST, BETHANY, MO 64424(660) 425-0253 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Jun 30, 2021, Nov 5, 2019 and 1 more (4 updates tracked since 2017).

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About St Joseph Specialty Clinic Pc NPPES

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

ST JOSEPH SPECIALTY CLINIC PC (NPI 1962424895) is a healthcare organization registered as a surgery in Bethany, Missouri and active in the NPI registry since July 2006. The organization lists Kenneth W Shewell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1962424895

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameST JOSEPH SPECIALTY CLINIC PC

Location Address2600 MILLER STBethany, MO 64424-2701

Mailing AddressPo Box 8657Saint Joseph, MO 64508-8657 · (816) 866-5105 · Fax (816) 207-0454

Phone(660) 425-0253

Organization SubpartNo

Authorized OfficialKenneth W ShewellSecretary · (816) 866-5105

Enumeration DateJuly 23, 2006

Last NPPES UpdateJanuary 4, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2023

✔ NPI 1962424895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MO · 112862

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2600 MILLER ST, Bethany, MO 64424

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Other Names 1

Doing Business AsSt Joseph Specialty Clinic Pc

Other Identifiers 1

Medicaid208865105MO

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.Insurance ›

Other Providers at the Same Location NPPES 12

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

SHANNA MARIE CAMPBELL MS CCC-SLP

Speech-Language Pathologist