Active NPI
Johnny L Venter, DO
- Pulmonary Disease Physician
- Carthage, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R2C39
- Practice address
- 3125 Dr Russell Smith Way
Carthage, MO 64836-7402 - Phone
- (417) 358-8121
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | R2C39 | MO | Primary |
Addresses
Primary practice location
3125 Dr Russell Smith Way
Carthage, MO 64836-7402
Mailing address
3125 Dr Russell Smith Way
Carthage, MO 64836-7402
Phone (417) 358-8121
Other practice location 1
115 W 12th St
LaMar, MO 64759-1756
Phone (417) 682-6622
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100184420A | Medicaid | OK | |
| 100229510B | Medicaid | KS | |
| 241713916 | Medicaid | MO |
Other names 1
- John L Venter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Kansas City Homeopathic Medical College, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3125 Dr Russell Smith Way
Carthage, MO 64836-7402
Phone (417) 358-8121
Hospital & facility affiliations
- Mercy Hospital Carthage
- Mercy Hospital Joplin
- Freeman Health System - Freeman West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2C39 | MO | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Current | Accepting new patients | |
| Mercy Hospital Carthage | Current | Accepting new patients |
Locations
3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
115 W 12th St
Lamar, MO 64759
Phone (417) 667-9000
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IA HMO
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- IA HMO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- IL PPO Downstate
Interoperability endpoints
- jventer218243@directc.mercy.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- Family Medicine Physician
- Carthage, MO
- NPI 1558628222
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- Critical Access Hospital
- Carthage, MO
- NPI 1003201955
-
- General Acute Care Hospital
- Carthage, MO
- NPI 1396012753
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1003852054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 DR RUSSELL SMITH WAY",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648367402",
"telephone_number": "417-358-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 DR RUSSELL SMITH WAY",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648367402",
"telephone_number": "417-358-8121"
}
],
"practiceLocations": [
{
"address_1": "115 W 12th St",
"address_purpose": "LOCATION",
"city": "LaMar",
"state": "MO",
"postal_code": "647591756",
"country_code": "US",
"telephone_number": "417-682-6622",
"fax_number": "417-682-6626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENTER",
"first_name": "JOHNNY",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "R2C39",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100184420A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100229510B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241713916",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "VENTER",
"middle_name": "L",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carthage, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.