Individual provider Active NPI

Mollie Marie James, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Joplin, MO
National Provider Identifier
1063449676
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2012018322 Issued in MO
Practice address
2817 Saint Johns Blvd
Joplin, MO 64804-1563
Phone
(417) 781-2727
Fax
(417) 781-5845
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2012018322 MO Primary
Surgical Critical Care Physician 2086S0102X 2012018322 MO

Addresses

Primary practice location

2817 Saint Johns Blvd
Joplin, MO 64804-1563

Mailing address

2817 Saint Johns Blvd
Joplin, MO 64804-1563
Phone (417) 781-2727

Other identifiers 2

IdentifierTypeStateIssuer
1063449676MedicaidMO
200974630AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161207001391 MO Practitioner - General SurgeryPractitioner - Osteopathic Manipulative MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 6901854405 Reassigns benefits to 3 organizations
I20210702000057 NC Practitioner - Critical Care (Intensivists) 6901854405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2012018322MOMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St. Louis CurrentSince Nov 2, 2016 Accepting new patients
NHCS Physicians Inc Critical Care Medicine CurrentSince Mar 24, 2021 Accepting new patients
SSM Health Care St Louis CurrentSince Nov 2, 2016 Accepting new patients
Cogent Healthcare of Missouri, Inc Critical Care Medicine CurrentSince Jun 17, 2017 Accepting new patients
NHCS Physicians, Inc. CurrentSince Mar 24, 2021 Accepting new patients
Physician Specialists of St Lukes LLC Critical Care Medicine CurrentSince Aug 14, 2018 Accepting new patients
Mercy Medical Center-Centerville Past Accepting new patients
Surgical Clinic of Southern Iowa, PC PastSince Jun 1, 2016 Accepting new patients
Emergency Physicians of St. Luke'S, LLC Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Interoperability endpoints

  • Direct secure messaging: mollie.james@885101451608068.direct.elationemr.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1063449676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-781-2727",
            "fax_number": "417-781-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-781-2727",
            "fax_number": "417-781-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MOLLIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2012018322",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MO",
            "license": "2012018322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063449676",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200974630A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.