Active NPI
Jerry Karr, DO
- Emergency Medicine Physician
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 101878
- Practice address
- 901 E 5TH St
Washington, MO 63090-3127 - Phone
- (636) 239-8011
- Fax
- (636) 390-7296
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 03217 | IA | |
| Emergency Medicine Physician | 207P00000X | 101878 | MO | Primary |
Addresses
Primary practice location
901 E 5TH St
Washington, MO 63090-3127
Mailing address
PO Box 18057B
Saint Louis, MO 63150-8057
Phone (636) 239-8011
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174505481 | Medicaid | MO | |
| 49428 | Other | IA | BX |
| 0191882 | Medicaid | IA | |
| 930097243 | Other | IA | RRMC |
| P00889535 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03217 | IA | MD | Basic Emergency Medical Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Perry | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Mercy Hospital Perry | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Lincoln | Current | Accepting new patients | |
| Texas County Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
Locations
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311
434 N West St
Perryville, MO 63775
Phone (573) 547-2530
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
901 Patients First Dr
#1200
Washington, MO 63090
Phone (636) 390-1777
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
Emergency Medicine
-
- General Acute Care Hospital
- Houston, MO
- NPI 1790740363
Emergency Medicine
-
- Rural Health Clinic/Center
- Perryville, MO
- NPI 1639858855
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
-
- Clinic/Center
- Houston, MO
- NPI 1497593719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1174505481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18057B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631508057",
"telephone_number": "636-239-8011",
"fax_number": "636-390-7296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 5TH ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903127",
"telephone_number": "636-239-8011",
"fax_number": "636-390-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARR",
"first_name": "JERRY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "IA",
"license": "03217",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "101878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174505481",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX",
"identifier": "49428",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0191882",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "930097243",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00889535",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.