Justin Keith Hamlin, DO
Individual provider Active NPI Family Medicine Physician · Webb City, MO
NPI 1174883607 · NPPES record last updated Aug 21, 2019
Key facts
- NPI
- 1174883607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2013030301 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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
- Mercy Hospital Carthage
- Mercy Hospital Joplin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, 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 |
|---|---|---|---|---|
| I20140304000689 | TX | Practitioner - Family Practice |
5991935355 | Reassigns benefits to 1 organization |
| I20160623000177 | MO | Practitioner - Family Practice | 5991935355 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-38357 | KS | MD | Hypertension Specialist Physician |
| 2013030301 | MO | MD | Hypertension Specialist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current |
Accepting new patients | |
| Cornerstone Medical, LLC | Family Medicine | Current |
Accepting new patients |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current |
Accepting new patients | |
| Hamlin Medical Innovations LLC | Family Medicine | 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
- jhaml@yourcarecommunity.org
- asclepiushealthandmetabolicspecialists.justinhamlin@143160.advancedmd-direct.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-38357 | Other | KS | KANSAS STATE BOARD OF HEALING ARTS |
| 2013030301 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
| 268648 | Other | MO | MEDICARE GROUP NUMBER |
| 5469 | Other | OK | OKLAHOMA BOARD OF OSTEOPATHIC EXAMINERS |
| 000050010 | Other | MO | MEDICARE GROUP PTAN |
Other providers in Webb City, MO
- Jerry Gilstrap
- Tracy Alaine Godfrey
- Charles Christopher Gossman
- Laura M Green
- Hamlin Medical Innovations LLC
- Joanie Marie Hatterman
- Michelle Heger
- Kayla Dawn Henderson
- Cheyenne Jean-Marie Hernandez
- Bethany Herron
All providers in Webb City, MO · Family 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 Aug 21, 2019. 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.