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

NPI Status: Active since July 23, 2006

Contact Information

2600 MILLER ST
BETHANY, MO
ZIP 64424
Phone: (660) 425-0253

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  • Organization
  • Surgery
  • Accepts Insurance

About ST JOSEPH SPECIALTY CLINIC PC

This page provides the complete NPI Profile along with additional information for St Joseph Specialty Clinic Pc, a provider established in Bethany, Missouri operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1962424895 assigned on July 2006. The practitioner's primary taxonomy code is 208600000X with license number 112862 (MO). The provider is registered as an organization and their NPI record was last updated 3 years ago. St Joseph Specialty Clinic Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Joseph Specialty Clinic Pc. The authorized official of this NPI record is Kenneth W Shewell Md (Secretary)

NPI
1962424895
Provider Legal Name
ST JOSEPH SPECIALTY CLINIC PC
Other Organization Name
ST JOSEPH SPECIALTY CLINIC PC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2600 MILLER ST BETHANY, MO 64424
Location Phone
(660) 425-0253
Mailing Address
PO BOX 8657 SAINT JOSEPH, MO 64508
Mailing Phone
(816) 866-5105
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2006
Last Update Date
01-04-2023
Code Navigator

A surgeon like St Joseph Specialty Clinic Pc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
112862
License State
MO
Taxonomy Description
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.

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:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

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

KENNETH W SHEWELL MD

Authorized Official Title
SECRETARY
Authorized Official Phone
(816) 866-5105

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
208865105MEDICAID (05)MO 

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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 1962424895, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

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
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
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 6 → 12 → 3 4 → 8 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 8 + 2 + 8 + 8 + 1 + 8 + 24 = 75

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

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962424895.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Pharmacy Technician
2600 MILLER ST
BETHANY, MO 64424
Social Worker (Clinical)
2600 MILLER ST
BETHANY, MO 64424
Occupational Therapist
2600 MILLER ST
BETHANY, MO 64424
Pharmacy Technician
2600 MILLER ST
BETHANY, MO 64424
Speech-Language Pathologist
2600 MILLER ST
BETHANY, MO 64424
Social Worker
2600 MILLER ST
BETHANY, MO 64424
Surgery
2600 MILLER ST
BETHANY, MO 64424
Family Medicine
2600 MILLER ST
BETHANY, MO 64424
General Acute Care Hospital (Critical Access)
2600 MILLER ST
BETHANY, MO 64424
Medicare Defined Swing Bed Unit
2600 MILLER ST
BETHANY, MO 64424
Clinic/Center (Federally Qualified Health Center (FQHC))
2600 MILLER ST
BETHANY, MO 64424
Surgery
2600 MILLER ST
BETHANY, MO 64424
Family Medicine
2600 MILLER ST
BETHANY, MO 64424
Nurse Practitioner (Family)
2600 MILLER ST
BETHANY, MO 64424

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962424895, enumerated as an "organization" on July 23, 2006.

The provider is located at 2600 MILLER ST BETHANY, MO 64424 and the phone number is (660) 425-0253.

Surgery with taxonomy code 208600000X.

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