Unknown Individual – Internal Medicine Physician, NPI 1093725681
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
Joplin Post Office, 2nd Avenue East, Joplin, Liberty County, Montana, 59531, United States
JOPLIN, MO 648033810
Phone: (417) 347-6843
Fax: (417) 347-9397
Type: Mailing
510 Park St
Anderson, MO 648319280
Phone: (417) 845-0545
Fax: (417) 845-0548
Type: Location
1606 Olive St
Seneca, MO 648659247
Phone: (417) 776-5900
Fax: (417) 776-5901
Type: Location
336 S Jefferson St
Neosho, MO 648501769
Phone: (417) 455-4200
Fax: (417) 455-4314
Type: Location
336, South Jefferson Street, Neosho, Newton County, Missouri, 64850, United States
NEOSHO, MO 648501769
Phone: (417) 455-4200
Fax: (417) 455-4314
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64803)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 85610 | Blood test, clotting time | 123 | 65 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Nurse Practitioner | MO | |
| Sleep Medicine, Neurology | MO | |
| Family Practice, Hospitalist | MO | |
| General Surgery | MO |
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