| Freeman Physician Group | |
|
1102 W 32nd St Joplin MO 64804-3503 | |
| (417) 347-6605 | |
| (417) 347-9106 |
| Full Name | Freeman Physician Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 W 32nd St, Joplin, Missouri |
| Authorized Official Name and Position | Steve Graddy (CFO) |
| Authorized Official Contact | 4173471111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeman Physician Group Po Box 3810 Joplin MO 64803-3810 Ph: (417) 347-6605 | Freeman Physician Group 1102 W 32nd St Joplin MO 64804-3503 Ph: (417) 347-6605 |
| NPI Number | 1679517023 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Medicare PECOS PAC ID | 8325942253 |
|---|---|
| Medicare Enrollment ID | O20031215000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679517023 | NPI | - | NPPES |
| 100099600J | Medicaid | KS | |
| 100099600K | Medicaid | KS | |
| 100099600H | Medicaid | KS | |
| CD6111 | Other | MO | RR MEDICARE |
| 110134 | Other | KS | KS BCBS |
| CJ9325 | Other | KS | RR MEDICARE |
| Provider Name | Troy Lee Eichelberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932185188 PECOS PAC ID: 1759282577 Enrollment ID: I20040115000629 |
| Provider Name | William J Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093805897 PECOS PAC ID: 1759282080 Enrollment ID: I20040122000434 |
| Provider Name | Patricia L Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023182789 PECOS PAC ID: 0749177194 Enrollment ID: I20040302000121 |
| Provider Name | John David Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457446791 PECOS PAC ID: 6406821347 Enrollment ID: I20040901001477 |
| Provider Name | Eric Arthur Carlson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1417926015 PECOS PAC ID: 2860380995 Enrollment ID: I20050117000518 |
| Provider Name | Michael George Nagle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699717132 PECOS PAC ID: 3577512169 Enrollment ID: I20050120001062 |
| Provider Name | Michael P Zafuta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679663520 PECOS PAC ID: 8527002393 Enrollment ID: I20050613000834 |
| Provider Name | Boban N Mathew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437262623 PECOS PAC ID: 1850337361 Enrollment ID: I20050706001077 |
| Provider Name | Gregory J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255423364 PECOS PAC ID: 5698861797 Enrollment ID: I20080102000573 |
| Provider Name | William John Nicholas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356387484 PECOS PAC ID: 7810085503 Enrollment ID: I20080404000691 |
| Provider Name | Tiffany Kay Main |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750327706 PECOS PAC ID: 8325127806 Enrollment ID: I20080508000708 |
| Provider Name | Aaron D Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669564787 PECOS PAC ID: 7113101775 Enrollment ID: I20110406000794 |
| Provider Name | Scott M Mcclintick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295933984 PECOS PAC ID: 5799818274 Enrollment ID: I20130103000111 |
| Provider Name | Megan Rene Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417389214 PECOS PAC ID: 8921233412 Enrollment ID: I20131111000208 |
| Provider Name | Thomas B Coy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992732986 PECOS PAC ID: 3274621552 Enrollment ID: I20131217000571 |
| Provider Name | Christine a Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497147110 PECOS PAC ID: 4981922168 Enrollment ID: I20150820009681 |
| Provider Name | Annie Mae Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538537501 PECOS PAC ID: 9335457894 Enrollment ID: I20151001002945 |
| Provider Name | Stephen E Slawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962447292 PECOS PAC ID: 2961314257 Enrollment ID: I20170127001167 |
| Provider Name | Muhammad Muneeb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528321494 PECOS PAC ID: 9537473004 Enrollment ID: I20170901002287 |
| Provider Name | Daniel W Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447762984 PECOS PAC ID: 4284992975 Enrollment ID: I20180312001969 |
| Provider Name | Jessica L Verheyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093187619 PECOS PAC ID: 3476853110 Enrollment ID: I20180712002132 |
| Provider Name | Abdul Mateen Nagaria |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023025707 PECOS PAC ID: 8224036710 Enrollment ID: I20180723002137 |
| Provider Name | Frank S. Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427159672 PECOS PAC ID: 1254355365 Enrollment ID: I20190112000201 |
| Provider Name | Grant T Pierson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699034900 PECOS PAC ID: 0446572903 Enrollment ID: I20190816002809 |
| Provider Name | Paden William Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742582 PECOS PAC ID: 6608108964 Enrollment ID: I20191106001144 |
| Provider Name | Andrea Leighann Hight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881253920 PECOS PAC ID: 8325376973 Enrollment ID: I20200114001988 |
| Provider Name | Rama Challapalli Sri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891921524 PECOS PAC ID: 9032368766 Enrollment ID: I20210622001265 |
| Provider Name | Ryan Sorell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1083143002 PECOS PAC ID: 0648540583 Enrollment ID: I20210727001442 |
| Provider Name | Tyge L Sanborn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811567548 PECOS PAC ID: 4688070733 Enrollment ID: I20210915001064 |
| Provider Name | Kelly R Woodford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447505862 PECOS PAC ID: 5890722128 Enrollment ID: I20211203001538 |
| Provider Name | Jessica J Hartzfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457697815 PECOS PAC ID: 5496900813 Enrollment ID: I20220127000977 |
| Provider Name | Jane G Seto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043525959 PECOS PAC ID: 0143408336 Enrollment ID: I20220310001570 |
| Provider Name | Jacqueline E Fornelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265029912 PECOS PAC ID: 3678986569 Enrollment ID: I20221025000371 |
| Provider Name | Regine M Leconte |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831242031 PECOS PAC ID: 6608910591 Enrollment ID: I20221114001882 |
| Provider Name | Wayne Putnam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275604621 PECOS PAC ID: 4284735697 Enrollment ID: I20230117002444 |
| Provider Name | Kevin C. Christian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194019968 PECOS PAC ID: 8224258686 Enrollment ID: I20230119003110 |
| Provider Name | Trisha a Schreffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598104184 PECOS PAC ID: 7315188059 Enrollment ID: I20230120000234 |
| Provider Name | Brianna Schlessman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134844327 PECOS PAC ID: 4981070760 Enrollment ID: I20230126000557 |
| Provider Name | Chance L Matthiesen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821289893 PECOS PAC ID: 5193989069 Enrollment ID: I20230228001971 |
| Provider Name | Enock E Faustin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033440631 PECOS PAC ID: 8224463435 Enrollment ID: I20230316001893 |
| Provider Name | Margaret a Seedorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114030202 PECOS PAC ID: 7113903451 Enrollment ID: I20231016001541 |
| Provider Name | Christopher Michael Foth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548791460 PECOS PAC ID: 4284991449 Enrollment ID: I20240921000248 |
| Provider Name | Tabatha King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972384071 PECOS PAC ID: 8628424199 Enrollment ID: I20241210003491 |
| Provider Name | Mohammad Rahman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114363850 PECOS PAC ID: 4688970668 Enrollment ID: I20250429002378 |
| Provider Name | Luciano De Lima Villarinho |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164943015 PECOS PAC ID: 0244501914 Enrollment ID: I20250524000046 |
| Provider Name | Klacee V Guernsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295513257 PECOS PAC ID: 7618490012 Enrollment ID: I20250821002270 |
| Provider Name | Amenyedu P Adovor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740521327 PECOS PAC ID: 2466747738 Enrollment ID: I20251021003125 |
| Provider Name | David Anthony |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043510019 PECOS PAC ID: 3870750698 Enrollment ID: I20260530000076 |
Access Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4302 S Richard Joseph Blvd W, Joplin, MO 64804 Phone: 417-782-6200 Fax: 417-782-6210 |
Barnes Direct Primary Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3002 W Junge Blvd, Joplin, MO 64801 Phone: 620-224-5950 |
Joplin Mo Caregiving LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 S Joplin Ave, Joplin, MO 64801 Phone: 417-392-0913 |
Family Health Center of Joplin Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 S Jackson Ave, Joplin, MO 64804 Phone: 417-624-4060 Fax: 417-624-6131 |
Healthsource Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E 32nd St Ste 5, Joplin, MO 64804 Phone: 417-623-8187 Fax: 417-623-9011 |
Joplin Urgent Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 N Range Line, Suite 100, Joplin, MO 64801 Phone: 417-782-4300 Fax: 417-782-5870 |