MERCY CLINIC JOPLIN LLC
NPI 1417216938
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Miami, OK
NPI Status: Active since May 04, 2012
Contact Information
310 2ND AVE SW
MIAMI, OK
ZIP 74354
Phone: (417) 556-8600
Fax: (417) 556-8602
- Organization
- Thoracic Surgery (Cardiothoracic Vascula...
About MERCY CLINIC JOPLIN LLC
This page provides the complete NPI Profile along with additional information for Mercy Clinic Joplin Llc, a provider established in Miami, Oklahoma operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1417216938 assigned on May 2012. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Mercy Clinic Joplin Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Tracy A Godfrey Md (President)
- NPI
- 1417216938
- Provider Name
- MERCY CLINIC JOPLIN LLC
- Entity Type
- Organization
- Location Address
- 310 2ND AVE SW MIAMI, OK 74354
- Location Phone
- (417) 556-8600
- Location Fax
- (417) 556-8602
- Mailing Address
- 100 MERCY WAY JOPLIN, MO 64804
- Mailing Phone
- (417) 556-8994
- Mailing Fax
- (417) 556-8602
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2012
- Last Update Date
- 07-02-2015
- Code Navigator
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
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
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:
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.
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 |
|---|---|---|---|
| OKA105623 | MEDICARE PIN (08) | OK | |
| 200274980N | MEDICAID (05) | OK | |
| DT3607 | OTHER (01) | OK | RAIL ROAD MEDICARE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 2 | 1 | 6 | 9 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 4 | 1 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 4 + 1 + 1 + 2 + 9 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1417216938 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225030562 | DR. MATTHEW HAROLD ROBERTS DPM Individual | Podiatrist (Foot & Ankle Surgery) | 310 2ND AVE SW STE 102 MIAMI, OK 74354 (918) 540-7655 |
| 1346268315 | NEO FOOT AND ANKLE INC Organization | Clinic/Center (Medical Specialty) | 310 2ND AVE SW STE 102 MIAMI, OK 74354 (918) 540-7655 |
| 1508977182 | MR. JAMIE GRAHAM BAKER PT Individual | Physical Therapist | 310 2ND AVE SW MIAMI, OK 74354 (918) 540-7738 |
| 1124202197 | MATTHEW H ROBERTS Organization | Podiatrist (Foot & Ankle Surgery) | 310 2ND AVE SW STE 208 MIAMI, OK 74354 (918) 540-7655 |
| 1548378375 | TAMMIE LYNN KOEHLER DO Individual | Obstetrics & Gynecology | 310 2ND AVE SW STE 204 MIAMI, OK 74354 (918) 542-4300 |
| 1831577113 | MATTHEW BRANNON Individual | Specialist/Technologist (Athletic Trainer) | 310 2ND AVE SW MIAMI, OK 74354 (918) 540-7736 |
| 1255712550 | MRS. JENNIFER L. MYRICK M.S., CCC-SLP Individual | Speech-Language Pathologist | 310 2ND AVE SW MIAMI, OK 74354 (918) 540-7736 |
| 1366824047 | INTEGRIS Organization | Early Intervention Provider Agency | 310 2ND AVE SW MIAMI, OK 74354 (918) 540-7736 |
| 1619945391 | DR. SU SU LIN M.D. Individual | Internal Medicine | 310 2ND AVE SW STE. 107-A MIAMI, OK 74354 (918) 540-7820 |
| 1831417849 | OSU CENTER FOR HEALTH SCIENCES Organization | Clinic/Center (Medical Specialty) | 310 2ND AVE SW SUITE 204 MIAMI, OK 74354 (918) 561-8306 |
| 1891792040 | DR. DON ALAN CARNAHAN M.D. Individual | Pediatrics | 310 2ND AVE SW STE 106-A MIAMI, OK 74354 (918) 540-7753 |
| 1770556102 | MUZAFFAR HUSSAIN MD Individual | Orthopaedic Surgery | 310 2ND AVE SW STE. 207 MIAMI, OK 74354 (918) 540-7782 |
| 1366415234 | PATRICK EARL STOUT MD Individual | Urology | 310 2ND AVE SW STE. 208 MIAMI, OK 74354 (918) 540-7870 |
| 1386617017 | JEFFREY NEAL STEWART MD Individual | Surgery | 310 2ND AVE SW STE. 208 MIAMI, OK 74354 (918) 540-7870 |
| 1285609248 | MICHELLE LYNN GRAHAM ARNP-C Individual | Nurse Practitioner | 310 2ND AVE SW 106-B MIAMI, OK 74354 (918) 540-7634 |
| 1629044334 | JOHN CLARK OSBORN MD Individual | Family Medicine | 310 2ND AVE SW 107-B MIAMI, OK 74354 (918) 540-7730 |
| 1013985654 | DR. THANT ZIN M.D. Individual | Internal Medicine | 310 2ND AVE SW 107-A MIAMI, OK 74354 (918) 540-7820 |
| 1578531257 | DR. PATRICK MCGOWAN M.D. Individual | Surgery | 310 2ND AVE SW STE. 208 MIAMI, OK 74354 (918) 540-7870 |
| 1881804029 | RENE GALAN M.D. Individual | Obstetrics & Gynecology | 310 2ND AVE SW STE 104 MIAMI, OK 74354 (918) 540-7867 |
| 1356781462 | JUSTIN WALKER D.O. Individual | Family Medicine | 310 2ND AVE SW SUITE 107-A MIAMI, OK 74354 (918) 540-7858 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417216938, enumerated in the NPI registry as an "organization" on May 04, 2012
The provider is located at 310 2nd Ave Sw Miami, Ok 74354 and the phone number is (417) 556-8600
This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 04, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.