Individual provider Active NPI

Justin Keith Hamlin, DO

  • Family Medicine Physician
  • Webb City, MO
National Provider Identifier
1174883607
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013030301 Issued in MO
Practice address
1001 W Daugherty St
Webb City, MO 64870-1717
Phone
(417) 717-2017
Fax
(417) 717-2134
NPI assigned
May 17, 2012
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5469 OK
Family Medicine Physician 207Q00000X 05-38357 KS
Obesity Medicine (Family Medicine) Physician 207QB0002X 2013030301 MO
Obesity Medicine (Family Medicine) Physician 207QB0002X 5469 OK
Obesity Medicine (Family Medicine) Physician 207QB0002X 05-38357 KS
Hypertension Specialist Physician 207RH0005X 2013030301 MO
Hypertension Specialist Physician 207RH0005X 5469 OK
Hypertension Specialist Physician 207RH0005X 05-38357 KS
Family Medicine Physician 207Q00000X 2013030301 MO Primary

Addresses

Primary practice location

1001 W Daugherty St
Webb City, MO 64870-1717

Mailing address

1001 W Daugherty St
Webb City, MO 64870-1717
Phone (417) 717-2017

Other practice location 1

29 NW 1st Ln
Lamar, MO 64759-8105
Phone (417) 681-5266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140304000689 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5991935355 Reassigns benefits to 1 organization
I20160623000177 MO Practitioner - Family Practice 5991935355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1407 Miner St
Sarcoxie, MO 64862-9210
Phone (417) 548-3334

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-38357KSMDObesity Medicine (Family Medicine) Physician
2013030301MOMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Aug 19, 2015 Accepting new patients
Cornerstone Medical, LLC Family Medicine CurrentSince Oct 2, 2022 Accepting new patients
Hamlin Medical Innovations LLC Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Cherokee Nation CurrentSince Aug 19, 2015 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Northport Health Services of Missouri, LLC Past Accepting new patients

Locations

2613 S Main St
Ste D
Joplin, MO 64804
Phone (417) 553-7920

1407 Miner St
Sarcoxie, MO 64862
Phone (417) 548-3334

1001 W Daugherty St
Webb City, MO 64870
Phone (417) 717-0420

6031 N Main Street Rd
Webb City, MO 64870

501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: asclepiushealthandmetabolicspecialists.justinhamlin@143160.advancedmd-direct.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jhaml@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1174883607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W DAUGHERTY ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701717",
            "telephone_number": "417-717-2017",
            "fax_number": "417-717-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W DAUGHERTY ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701717",
            "telephone_number": "417-717-2017",
            "fax_number": "417-717-2134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 NW 1st Ln",
            "address_purpose": "LOCATION",
            "city": "Lamar",
            "state": "MO",
            "postal_code": "647598105",
            "country_code": "US",
            "telephone_number": "417-681-5266",
            "fax_number": "417-681-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "JUSTIN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5469",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-38357",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "MO",
            "license": "2013030301",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "OK",
            "license": "5469",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "KS",
            "license": "05-38357",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "MO",
            "license": "2013030301",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "OK",
            "license": "5469",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "KS",
            "license": "05-38357",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013030301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

Verify at the official NPI Registry.