Individual provider Active NPI

Natasha Ware, MD

  • Family Medicine Physician
  • Dexter, MO
National Provider Identifier
1083840433
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2012023669 Issued in MO
Practice address
1516 W Business Hwy 60
Dexter, MO 63841-5207
Phone
(573) 614-5007
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2012023669 MO Primary

Addresses

Primary practice location

1516 W Business Hwy 60
Dexter, MO 63841-5207

Mailing address

408S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 332-0808

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121110000203 MO Practitioner - Family Practice 3072764521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dexter Hospital, LLCGroup PAC ID 6507834579, 16 clinicians
Southeast Health Center of Stoddard County LLCGroup PAC ID 7315192515, 39 clinicians

Practice addresses (Care Compare)

1200 N One Mile Rd
Dexter, MO 63841-1000

1300 N One Mile
Suite 3
Dexter, MO 63841-1000

2025 W Business US Hwy 60
Dexter, MO 63841-2879
Phone (573) 614-4600

Hospital & facility affiliations

  • Elara Caring Home health agency, Dexter, MO, CCN 267589
  • Visiting Nurse Association of Southeast Missouri, Inc Home health agency, Kennett, MO, CCN 267050
  • Amedisys Home Health of Missouri Home health agency, Poplar Bluff, MO, CCN 267151
  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119
  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Health Center of Stoddard County LLC Family Medicine CurrentSince May 10, 2023 Accepting new patients
Southeast Health Center of Stoddard County, LLC Family Medicine Current Accepting new patients
Southeast Health Center of Stoddard County, LLC Family Medicine CurrentSince May 10, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

Organizations & group practices 5

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 8

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": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1083840433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-332-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W BUSINESS HWY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638415207",
            "telephone_number": "573-614-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "NATASHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012023669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

Verify at the official NPI Registry.