Noble Health Fulton Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NOBLE HEALTH FULTON INC

Doing business as

Callaway Specialty Clinic

Practice address

850 N Hospital Dr Ste a
Fulton, MO 65251-2535

Phone

(573) 592-6585

Fax

(573) 826-2440

NPI assigned

Jun 21, 2021

Organization subpart

Yes

Parent organization

NOBLE HEALTH FULTON INCAs reported in NPPES

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

Authorized official

Name

Jeffrey A Stone

Title

Interim Ceo

Phone

(573) 642-3376

Specialties & licenses 7

Addresses

Other names 1

• Callaway Specialty Clinic Doing business as

Part of

Noble Health Fulton Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Noble Health Fulton Inc

  • General Acute Care Hospital
  • Fulton, MO
  • NPI 1053933457
  NPPES parent name

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1023687514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S HOSPITAL DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512510",
            "telephone_number": "573-642-3376",
            "fax_number": "573-592-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N HOSPITAL DR STE A",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512535",
            "telephone_number": "573-592-6585",
            "fax_number": "573-826-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTH FULTON INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOBLE HEALTH FULTON INC",
        "enumeration_date": "2021-06-21",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "573-642-3376"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Callaway Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Newbill, PH.D.
• Newton Emergency Group, LLC
• Nghia Nguyen, DC
• Jourdan Nichols
• Kelly L Nickelson, PHYSICAL THERAPIST
• Noble Health Fulton Inc
• Noble Health Fulton Inc
• Noble Health Fulton Inc
• Noble Health Fulton Inc
• Noble Health Fulton Inc

• Orthopaedic Surgery Physician in Fulton, MO
• Providers in Fulton, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.