St Joseph Specialty Clinic PC – Surgery Physician, NPI 1962424895

St Joseph Specialty Clinic PC is a healthcare provider. based in Saint joseph, Missouri. specializing in Surgery Physician. The organization holds a License No. 112862 (MO). The NPI Number for St Joseph Specialty Clinic PC is 1962424895

Main info

Organization
Name
St Joseph Specialty Clinic PC
NPI
1962424895
Phone
(816) 676-2200
Address
4229 FREDERICK AVE STE A
Authorized Official
KENNETH W SHEWELL SECRETARY MD
Enumeration Date
23 July 2006
Last Update Date
4 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for St Joseph Specialty Clinic PC

  • 4229 FREDERICK AVE STE A

    SAINT JOSEPH, MO 645063159

    Phone: (816) 676-2200

    Fax: (816) 676-2203

    Type: Location

  • PO BOX 8657

    SAINT JOSEPH, MO 645088657

    Phone: (816) 866-5105

    Fax: (816) 207-0454

    Type: Mailing

  • 2600 MILLER ST

    BETHANY, MO 644242701

    Phone: (660) 425-0253

    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

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 64506)

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Reviews

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Frequently asked questions

What is the standard ID for St Joseph Specialty Clinic PC in the U.S.?
In the U.S., St Joseph Specialty Clinic PC is identified by NPI 1962424895.
Is St Joseph Specialty Clinic PC currently accepting referrals based on NPI status?
Registry metadata lists St Joseph Specialty Clinic PC as active.
What type of care does St Joseph Specialty Clinic PC provide?
St Joseph Specialty Clinic PC's profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit St Joseph Specialty Clinic PC in Saint Joseph, Missouri?
For routing, start with Saint Joseph, Missouri for St Joseph Specialty Clinic PC, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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