OZARKS HEALTHCARE GENERAL SURGERY
NPI 1639477946
Surgery in West Plains, MO

NPI Status: Active since March 10, 2011

Contact Information

2600 INDEPENDENCE SQ
WEST PLAINS, MO
ZIP 65775
Phone: (417) 256-1761
Fax: (417) 256-1794

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  • Organization
  • Surgery
  • CLIA Number: 26D0942954
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 03-18-2026

About OZARKS HEALTHCARE GENERAL SURGERY

This page provides the complete NPI Profile along with additional information for Ozarks Healthcare General Surgery, a provider established in West Plains, Missouri operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1639477946 assigned on March 2011. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Ozarks Healthcare General Surgery. The authorized official of this NPI record is Thomas W Keller (President And Ceo)

NPI
1639477946
Provider Legal Name
OZARKS MEDICAL CENTER
Other Organization Name
OZARKS HEALTHCARE GENERAL SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2600 INDEPENDENCE SQ WEST PLAINS, MO 65775
Location Phone
(417) 256-1761
Location Fax
(417) 256-1794
Mailing Address
2600 INDEPENDENCE SQ WEST PLAINS, MO 65775
Mailing Phone
(417) 256-1774
Mailing Fax
(417) 256-1794
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2011
Last Update Date
11-13-2020
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A surgeon like Ozarks Healthcare General Surgery 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.

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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
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 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

THOMAS W KELLER

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(417) 256-9111

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0942954
Facility Type
Community Clinic
Certificate Effective Date
March 19, 2024
Certificate Expiration Date
March 18, 2026
Laboratory Director
HOLLY GRAY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ozarks Healthcare General Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1639477946
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669871498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 8 + 7 + 1 + 4 + 9 + 8 + 24 = 84
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 84 = 66

The NPI number 1639477946 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225692627 JACQUIE SANDS AGPCNP
Individual
Nurse Practitioner2600 INDEPENDENCE SQ
WEST PLAINS, MO 65775
(417) 256-1774
1861001448OZARKS MEDICAL CENTER
Organization
Internal Medicine (Infectious Disease)2600 INDEPENDENCE SQ
WEST PLAINS, MO 65775
(417) 256-1774
1841800216OZARKS MEDICAL CENTER
Organization
Otolaryngology2600 INDEPENDENCE SQ
WEST PLAINS, MO 65775
(417) 256-1774
1184878555 MAGDY FAKHRY GIURGIUS MB.CHB
Individual
Surgery2600 INDEPENDENCE SQ
WEST PLAINS, MO 65775
(417) 256-1774

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639477946, enumerated in the NPI registry as an "organization" on March 10, 2011

The provider is located at 2600 Independence Sq West Plains, Mo 65775 and the phone number is (417) 256-1761

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider's CLIA number is 26D0942954 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 10, 2011. 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].
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