Active NPI
John M. Ward, D.O., P.C.
- General Practice Physician
- Boonville, MO
National Provider Identifier
1225358641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 31656
- Legal business name
- JOHN M. WARD, D.O., P.C.
- Practice address
- 306 Main St
Boonville, MO 65233-1566 - Phone
- (660) 882-2451
- Fax
- (660) 882-2434
- NPI assigned
- Jun 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Ward, D.O.
- Title
- President
- Phone
- (660) 882-2451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 31656 | MO | Primary |
Addresses
Primary practice location
306 Main St
Boonville, MO 65233-1566
Mailing address
306 Main St
Boonville, MO 65233-1566
Phone (660) 882-2451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240091702 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
306 Main St
Boonville, MO 65233
Phone (660) 882-2451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275955200000",
"number": "1225358641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 MAIN ST",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652331566",
"telephone_number": "660-882-2451",
"fax_number": "660-882-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 MAIN ST",
"city": "BOONVILLE",
"state": "MO",
"postal_code": "652331566",
"telephone_number": "660-882-2451",
"fax_number": "660-882-2434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN M. WARD, D.O., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-08",
"last_updated": "2010-06-08",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "660-882-2451",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "MO",
"license": "31656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240091702",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boonville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.