NPIMap

Individual provider Active NPI

Charles A. Featherly, D.O.

  • Emergency Medicine Physician
  • Joplin, MO
National Provider Identifier
1194762542
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R8J05 Issued in MO
Practice address
100 Mercy Way
Joplin, MO 64804-4524
Phone
(417) 556-2300
Fax
(417) 556-3625
NPI assigned
Jun 1, 2006
Last updated
Apr 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R8J05 MO Primary
Family Medicine Physician 207Q00000X R8J05 MO

Addresses

Primary practice location

100 Mercy Way
Joplin, MO 64804-4524

Mailing address

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-2300

Other identifiers 3

IdentifierTypeStateIssuer
100113400AMedicaidOK
100234560EMedicaidKS
242744415MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041208000933 MO Practitioner - Emergency Medicine 2466418678 Reassigns benefits to 5 organizations
I20220415000557 KS Practitioner - Emergency Medicine 2466418678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Memorial HospitalGroup PAC ID 7012801129, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

35629 Hwy 72
Salem, MO 65560-7217
Phone (573) 729-6626

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8J05MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage Emergency Medicine Current Accepting new patients
Salem Memorial Hospital Current Accepting new patients
Labette County Medical Center CurrentSince Feb 24, 2022 Accepting new patients
Cedar County Memorial Hospital CurrentSince Apr 1, 2011 Accepting new patients
Labette County Medical Center Family Medicine CurrentSince Feb 24, 2022 Accepting new patients
Cedar County Memorial Hospital Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
Salem Memorial Hospital CurrentSince May 11, 2021 Accepting new patients
Cedar County Memorial Hospital CurrentSince Apr 18, 2011 Accepting new patients
Labette County Medical Center Current Accepting new patients
Sjmgroup Past Accepting new patients
Cedar County Memorial Hospital Past Accepting new patients
Carthage Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

1902 S US Highway 59
Bldg A
Parsons, KS 67357
Phone (620) 421-2460

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

1317 S State Highway 32
El Dorado Springs, MO 64744
Phone (417) 876-3333

1401 S Park St
El Dorado Springs, MO 64744
Phone (417) 876-2511

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

35629 Highway 72
Bldg 3
Salem, MO 65560
Phone (573) 729-8000

Interoperability endpoints

  • Direct secure messaging: charles.featherly@directsbamh.org

Organizations & group practices 12

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1194762542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-2300",
            "fax_number": "417-556-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-556-2300",
            "fax_number": "417-556-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEATHERLY",
        "first_name": "CHARLES",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R8J05",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8J05",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113400A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100234560E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242744415",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.