Organization Active NPI

Thomas K Hamilton, DO P.C.

  • General Practice Physician
  • Joplin, MO
National Provider Identifier
1114186335
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R7766 Issued in MO
Legal business name
THOMAS K HAMILTON, DO P.C.
Practice address
2807 Arizona Ave
Suite 2
Joplin, MO 64804-3174
Phone
(417) 781-6722
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Thomas K Hamilton, D.O.
Title
President
Phone
(417) 781-6722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X R7766 MO Primary

Addresses

Primary practice location

2807 Arizona Ave
Suite 2
Joplin, MO 64804-3174

Mailing address

2807 Arizona Ave
Suite 2
Joplin, MO 64804-3174
Phone (417) 781-6722

Other identifiers 2

IdentifierTypeStateIssuer
8718OtherMOBCBS
240738104MedicaidMO

National Provider Directory

National Provider Directory

Locations

2817 Mc Clelland Blvd
Ste 108
Joplin, MO 64804
Phone (417) 781-6722

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1114186335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 ARIZONA AVE",
            "address_2": "SUITE 2",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043174",
            "telephone_number": "417-781-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 ARIZONA AVE",
            "address_2": "SUITE 2",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043174",
            "telephone_number": "417-781-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS K HAMILTON, DO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-781-6722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "R7766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8718",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240738104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.