Sooner Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2001017184 Issued in MO

Legal business name

SOONER INTERNAL MEDICINE, LLC

Practice address

1002 MC Intosh Cir
Suite 1
Joplin, MO 64804-3642

Phone

(417) 781-0224

Fax

(417) 781-0692

NPI assigned

Jul 8, 2006

Last updated

Nov 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy Eugene Bowles, M.D.NPI 1851332860

Title

Owner

Phone

(417) 781-0224

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randy E Bowles, M.D.

  • Internal Medicine Physician
  • Joplin, MO
  • NPI 1851332860
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1154354835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MC INTOSH CIR",
            "address_2": "SUITE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043642",
            "telephone_number": "417-781-0224",
            "fax_number": "417-781-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MC INTOSH CIR",
            "address_2": "SUITE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043642",
            "telephone_number": "417-781-0224",
            "fax_number": "417-781-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOONER INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-781-0224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001017184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herndon Adam Snider, PHD
• Kortni R Snook, NP
• Anjula Soard
• Susan E Soat, OTR
• John Soi
• Paige Soper, APRN
• Kailie Soriano
• Ryan Joseph Sosa
• Julia Alaine Soto, PLPC
• Southern Light Counseling, LLC

• Internal Medicine Physician in Joplin, MO
• Providers in Joplin, 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 Nov 17, 2009; 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.