Organization Active NPI

John M. Ward, D.O., P.C.

  • General Practice Physician
  • Boonville, MO
National Provider Identifier
1225358641
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
31656 Issued in MO
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

Updated by the provider on Jun 8, 2010

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
240091702MedicaidMO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.