Tamon Berber Paige, M.D.
Individual provider Active NPI Psychiatry Physician · Pineville, MO
NPI 1104807635 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1104807635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MO116659 (MO)
- Practice address
- 5265 S Business 71
Ste a
Pineville, MO 65865 - Phone
- (417) 223-5300
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ozark Center
Practice addresses (Care Compare)
5265 S Business Hwy 71
Suite a
Pineville, MO 64856-8203
Phone (417) 347-7600
Hospital & facility affiliations
- Freeman Health System - Freeman West
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 |
|---|---|---|---|---|
| I20031119000906 | MO | Practitioner - Psychiatry | 6103720420 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO116659 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Center | Current |
Accepting new patients | |
| Ozark Center | Current |
Accepting new patients | |
| Mercy Clinic Joplin LLC | Current |
Accepting new patients | |
| Freeman Surgical Center of Pittsburg, LLC | Current | Accepting new patients | |
| County of Crawford | Past |
Accepting new patients | |
| William J. Klontz M.D. Inc. | Psychiatry | Past | Accepting new patients |
| Renewal House | Past |
Accepting new patients | |
| Addiction Treatment Center of Southeast Kansas | Past |
Accepting new patients | |
| Community Mental Health Center of Crawford County | Past |
Accepting new patients | |
| Coummunity Mental Health Center of Crawford County | Past |
Accepting new patients | |
| College Skyline Center LLC | Past |
Accepting new patients | |
| County of Crawford | Past |
Accepting new patients | |
| Community Mental Health Center of Crawford County | Past |
Accepting new patients |
Locations
3125 Dr Russell Smith Way
Rm 1818
Carthage, MO 64836
Phone (417) 781-7337
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567
932 E 34th St
Joplin, MO 64804
Phone (417) 347-7603
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
1905 W 32nd St
Ste 208
Joplin, MO 64804
Phone (417) 625-2312
5615 W 32nd St
Joplin, MO 64804
Phone (417) 262-6175
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
5265 S Business Highway 71
Ste A
Pineville, MO 64856
Phone (417) 223-5300
Interoperability endpoints
- tpaige192262@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MO116659 | MO | Yes |
Addresses
Primary practice location
5265 S Business 71
Ste a
Pineville, MO 65865
Mailing address
PO Box 2526
Joplin, MO 64803-2526
Phone (417) 347-7600
Other practice location 1
3901 E 32nd St
Joplin, MO 64804-3312
Phone (417) 347-7567
Other practice location 2
932 E 34th St
Joplin, MO 64804-3932
Phone (417) 347-5200
Other practice location 3
307 W 11th St
LaMar, MO 64759-1428
Phone (417) 347-8010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203871215 | Medicaid | MO | |
| 100379890C | Medicaid | KS | |
| 100180840A | Medicaid | OK | |
| P00819884 | Other | MO | RAIL ROAD MEDICARE |
Other providers in Pineville, MO
- Gilbert R Morgan
- Gary David Neymeyer
- Tony Hieu Nguyen
- Ozark Tri-County Health Care Consortium
- Ozark Tri-County Health Care Consortium
- Teresa N Randolph
- Jill Rogers
- Sgoh Acquisition, Inc.
- Norman Alan Smith
- State Line Chiropractic Clinic LLC
All providers in Pineville, MO · Psychiatry 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 Mar 27, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.