John Robertson Carr, MD
Individual provider Active NPI Internal Medicine Physician · Rolla, MO
NPI 1154816858 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1154816858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2021028418 (MO)
- Practice address
- 1000 W 10TH St
Rolla, MO 65401-2905 - Phone
- (573) 458-8899
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 44
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phelps County Regional Medical Center
Pcrmc Medical Group Inc
Ozarks Medical Center
Texas County Memorial Hospital
Curana Health of Missouri-Kansas LLC
CH Specialty Services Mo LLC
Practice addresses (Care Compare)
1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899
1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036
1333 S Sam Houston Blvd
Houston, MO 65483-2046
1333 S Sam Houston Blvd a
TCMH Outpatient Clinic
Houston, MO 65483-2046
Phone (417) 967-1252
1335 S Sam Houston Blvd
Houston, MO 65483-2046
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435
139 W Hwy 32
Licking, MO 65542-9898
Phone (573) 674-3011
2885 Technology Dr
Lake St Louis, MO 63367-4123
Phone (337) 991-9276
400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276
Hospital & facility affiliations
- Heartland Hospice (St Louis)
- Three Rivers Hospice South
- Phelps County Regional Medical Center
- Texas County Memorial Hospital
- Mercy Hospital Lebanon
- Salem Memorial District Hospital
- Barnes Jewish Hospital
- Phelps County Regional Med Center
- Phelps Health
- Hickory Manor
- Texas County Memorial Hospital
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 |
|---|---|---|---|---|
| I20210805001683 | MO | Practitioner - Internal Medicine | 5698027837 | Reassigns benefits to 10 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phelps County Regional Medical Center | Current |
Accepting new patients | |
| Ies HSP Missouri LLC | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| Ozarks Medical Center | Current |
Accepting new patients | |
| CH Specialty Services Mo LLC | Internal Medicine | Current |
Accepting new patients |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| Phelps County Regional Medical Center | Current |
Accepting new patients | |
| Ozarks Medical Center | Current |
Accepting new patients | |
| Cole Physician Services LLC | Current |
Accepting new patients | |
| Pcrmc Medical Group, Inc | Internal Medicine | Current |
Accepting new patients |
| Curana Health of Missouri-Kansas LLC | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Current |
Accepting new patients | |
| Texas County Memorial Hospital | Past | Accepting new patients |
Locations
403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515
1 Hospital Dr
#423
Columbia, MO 65212
Phone (573) 882-7901
10 S Hospital Dr
Fulton, MO 65251
Phone (573) 592-6550
1337 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-5435
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
139 W Highway 32
Licking, MO 65542
Phone (573) 674-3011
620 E Monroe St
Mexico, MO 65265
Phone (573) 582-5000
1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
600 Blues Lake Pkwy
Rolla, MO 65401
Phone (573) 364-5719
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
1630 E Primrose St
Springfield, MO 65804
Phone (417) 885-4700
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715
1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959
Interoperability endpoints
- jcarr427915@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018022261 | MO | |
| Internal Medicine Physician | 207R00000X | 2021028418 | MO | Yes |
Addresses
Primary practice location
1000 W 10TH St
Rolla, MO 65401-2905
Mailing address
1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-8899
Other practice location 1
1333 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-3311
Other practice location 2
1337 S Sam Houston Blvd
Houston, MO 65483-2046
Phone (417) 967-5435
Other practice location 3
1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899
Other practice location 4
600 Blues Lake Pkwy
Rolla, MO 65401-8022
Phone (573) 364-8822
Other practice location 5
1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 774-2715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200058345 | Medicaid | MO |
Other providers in Rolla, MO
- Ashley Fawn Campbell
- Leann Campbell
- Karen Louise Canell
- Care Med-Equip LLC
- Karolyn Ann Carpenter
- Andrew James Cassidy
- Cathedral Rock of Rolla Inc
- Dawn May Cavender-Erangey
- Central Missouri Urology Clinic, Inc
- Candace Kay Chafton
All providers in Rolla, MO · Internal Medicine 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 Jul 31, 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.