Curtis David King, M.D.
Individual provider Active NPI Family Medicine Physician · Centralia, MO
NPI 1073519484 · NPPES record last updated Oct 26, 2007
Key facts
- NPI
- 1073519484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 157489 (MO)
- Practice address
- 1021 E Highway 22
Centralia, MO 65240-1183 - Phone
- (573) 682-5588
- Fax
- (573) 682-1539
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070813000648 | MO | Practitioner - Emergency Medicine |
0840192340 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157489 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Current |
Accepting new patients | |
| Freeman-Oak Hill Health System | Family Medicine | Current |
Accepting new patients |
| Physician Groups LC | Family Medicine | Past | Accepting new patients |
| Centralia Family Health, PC | Family Medicine | Past |
Accepting new patients |
| Susan S Johnson MD and Brian L Johnson MD PC | Past | Accepting new patients |
Locations
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273
1636 S Madison St
Webb City, MO 64870
Phone (417) 347-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 157489 | MO | Yes |
Addresses
Primary practice location
1021 E Highway 22
Centralia, MO 65240-1183
Mailing address
4700 Forum Blvd
Columbia, MO 65203-5654
Phone (573) 449-4936
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129223 | Other | MO | BLUE CROSS BLUE SHIELD |
| 434648 | Other | MO | HEALTHLINK |
| 122972 | Other | MO | GROUP HEALTH PLANS |
| 20758 | Other | MO | HEALTHCARE USA IND |
| 42835 | Other | MO | HEALTHCARE USA GRP |
| H22808 | Other | MO | MERCY |
| 0102128 | Other | MO | UNITED HEALTHCARE |
Other providers in Centralia, MO
- Health Services Administration, Inc
- Randal Dean Huhmann
- Jennifer Lynn Isringhausen
- Rebecca B Kelley
- Allison Nichole Kemble
- Kinkead Pharmacy, Inc.
- Trevor Matthew Kinkead
- Wendy Sue Kinkead
- Paulus E Lawson Jr.
- Lance Joseph Leverenz
All providers in Centralia, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.