Amy L. Hertweck-Warner, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA2082142 Issued in MO

Practice address

1905 W 32ND St
Suite 103
Joplin, MO 64804-1529

Phone

(417) 659-6967

Fax

(405) 745-9602

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Sjmgroup

  • Endocrinology, Diabetes & Metabolism Physician
  • Englewood, CO
  • NPI 1376590034
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1013959006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730648368",
            "telephone_number": "405-745-9600",
            "fax_number": "405-745-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST",
            "address_2": "SUITE 103",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041529",
            "telephone_number": "417-659-6967",
            "fax_number": "405-745-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTWECK-WARNER",
        "first_name": "AMY",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MA2082142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245828405",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00760838",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179498003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Hernandez, LMSW
• Herndon Snider & Associates, PC
• Franklin Dagaas Herrera Jr., OT
• Adam Herrick, DO
• Gabrielle Herron
• Daniel Heston Heuss
• Garrit Hicks, DO
• Yogi Del Hicks
• David Gregory Hiebert, D.D.S.
• Jeanie Joanne Hight, ED.S., LPC, NCC

• Internal Medicine Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.