ST JOHNS REGIONAL MEDICAL CENTER – Family Medicine Physician, NPI 1093802811

ST JOHNS REGIONAL MEDICAL CENTER is a healthcare provider. based in Joplin, Missouri. specializing in Family Medicine Physician. The NPI Number for ST JOHNS REGIONAL MEDICAL CENTER is 1093802811

Main info

Organization
Name
ST JOHNS REGIONAL MEDICAL CENTER
NPI
1093802811
Phone
(417) 627-8930
Address
PO BOX 1240
Authorized Official
MR. WALTER C DANDRIDGE JR. INTERIM CHIEF MEDICAL OFFICER MD
Enumeration Date
5 October 2006
Last Update Date
16 June 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for ST JOHNS REGIONAL MEDICAL CENTER

  • Joplin Post Office, 2nd Avenue East, Joplin, Liberty County, Montana, 59531, United States

    JOPLIN, MO 648021240

    Phone: (417) 627-8930

    Fax: (417) 627-8920

    Type: Mailing

  • McClelland Boulevard, Joplin, Newton County, Missouri, 64804, United States

    JOPLIN, MO 648041695

    Phone: (417) 781-2727

    Fax: (417) 625-2910

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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 64802)

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Reviews

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Frequently asked questions

Is ST JOHNS REGIONAL MEDICAL CENTER listed with a National Provider Identifier?
Yes — ST JOHNS REGIONAL MEDICAL CENTER has NPI 1093802811 on file in the registry.
Is there an active status for ST JOHNS REGIONAL MEDICAL CENTER?
For scheduling context, ST JOHNS REGIONAL MEDICAL CENTER is shown as active in the registry.
How would a patient describe ST JOHNS REGIONAL MEDICAL CENTER's focus?
For ST JOHNS REGIONAL MEDICAL CENTER, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ST JOHNS REGIONAL MEDICAL CENTER?
Travel planning: use Joplin, Missouri as the reference point for ST JOHNS REGIONAL MEDICAL CENTER, then confirm.
Does ST JOHNS REGIONAL MEDICAL CENTER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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