Baxter Regional Health System

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BAXTER REGIONAL HEALTH SYSTEM

Practice address

1402 N Kentucky Ave
West Plains, MO 65775-1822

Phone

(417) 256-3717

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Karman Nesbitt

Title

Director, Primary Care Clinics

Phone

(870) 269-3455

Specialties & licenses 1

Addresses

Other names 1

• Hometown Clinic at West Plains, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baxter Regional Health System

  • Family Medicine Physician
  • Bakersfield, MO
  • NPI 1013745637

  O20190107000951

  Same enrollment
• Baxter Regional Health System

  • Internal Medicine Physician
  • Mammoth Spring, AR
  • NPI 1689432304

  O20190107000951

  Same enrollment

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1124513874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751822",
            "telephone_number": "417-256-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAXTER REGIONAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "NESBITT",
        "authorized_official_first_name": "KARMAN",
        "authorized_official_title_or_position": "DIRECTOR, PRIMARY CARE CLINICS",
        "authorized_official_telephone_number": "870-269-3455"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Clinic at West Plains, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Nicole Barton
• Kristel Barton
• Shelby L Barton
• Melissa Bassham
• Ina Jane Bates, LCSW
• Vincent Lee Beam, A.T.,C.
• Meranda Bean
• Parviz M Behbahani, M.D.
• Jessica Belcher
• David Alejandro Benalcazar Almeida, MD

• Internal Medicine Physician in West Plains, MO
• Providers in West Plains, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.