| Joplin Internal Medicine Clinic | |
|
2615 E 20th St Joplin MO 64804-1039 | |
| (417) 624-4701 | |
| (417) 624-9807 |
| Full Name | Joplin Internal Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2615 E 20th St, Joplin, Missouri |
| Authorized Official Name and Position | Kimberly Wood (PHYSICIAN) |
| Authorized Official Contact | 4176244701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joplin Internal Medicine Clinic 2615 E 20th St Joplin MO 64804-1039 Ph: (417) 624-4701 | Joplin Internal Medicine Clinic 2615 E 20th St Joplin MO 64804-1039 Ph: (417) 624-4701 |
| NPI Number | 1538498035 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 08/01/2023 |
| Medicare PECOS PAC ID | 8527194703 |
|---|---|
| Medicare Enrollment ID | O20100326000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538498035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carol L Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700835345 PECOS PAC ID: 1254364292 Enrollment ID: I20050912000471 |
| Provider Name | Kimberly A Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972533487 PECOS PAC ID: 2567551609 Enrollment ID: I20071127000837 |
| Provider Name | Jill Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053925537 PECOS PAC ID: 2062814452 Enrollment ID: I20210707003304 |
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Physicians Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Mcclelland Blvd, Bldg. B Ste. 216, Joplin, MO 64804 Phone: 417-627-9600 Fax: 417-627-9632 | |
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