Organization Active NPI

Frank W. Shagets, Jr., M.D., P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Joplin, MO
National Provider Identifier
1003076837
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
R8942 Issued in MO
Legal business name
FRANK W. SHAGETS, JR., M.D., P.C.
Practice address
620 W 32ND St
Suite B
Joplin, MO 64804-2549
Phone
(417) 623-5111
Fax
(417) 623-1534
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Betty McCoy, CST, MA
Title
Back Office Manager
Phone
(417) 623-5111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X R8942 MO Primary

Addresses

Primary practice location

620 W 32ND St
Suite B
Joplin, MO 64804-2549

Mailing address

620 W 32ND St
Suite B
Joplin, MO 64804-2549
Phone (417) 623-5111

Other identifiers 2

IdentifierTypeStateIssuer
DN3615OtherMORAILROAD MEDICARE PART B
202543005MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address inbox@shagets.direct.wrshealth.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1003076837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST",
            "address_2": "SUITE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042549",
            "telephone_number": "417-623-5111",
            "fax_number": "417-623-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST",
            "address_2": "SUITE B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042549",
            "telephone_number": "417-623-5111",
            "fax_number": "417-623-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK W. SHAGETS, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "BACK OFFICE MANAGER",
        "authorized_official_telephone_number": "417-623-5111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CST, MA"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MO",
            "license": "R8942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "DN3615",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202543005",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inbox@shagets.direct.wrshealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct message to WRS Health EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct messaging",
            "address_1": "620 W 32nd St",
            "address_2": "Suite B",
            "city": "Joplin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "648042549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.