Individual provider Active NPI

Heather Dianne Stelling, MD

  • Pain Medicine (Anesthesiology) Physician
  • Joplin, MO
National Provider Identifier
1255308417
Registry record updated Feb 9, 2022
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective May 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
108124 Issued in MO
Practice address
3216 Ferguson Rd
Joplin, MO 64804-4033
Phone
(417) 208-9034
Fax
(417) 313-1275
NPI assigned
Mar 7, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 108124 MO
Addiction Medicine (Anesthesiology) Physician 207LA0401X 108124 MO
Pain Medicine (Anesthesiology) Physician 207LP2900X 108124 MO Primary

Addresses

Primary practice location

3216 Ferguson Rd
Joplin, MO 64804-4033

Mailing address

3216 Ferguson Rd
Joplin, MO 64804-4033
Phone (417) 208-9034

Other identifiers 5

IdentifierTypeStateIssuer
100185100BMedicaidOK
100364780BMedicaidKS
108602AOtherMOBCBS
050075597OtherRAILROAD MEDICARE
208624320MedicaidMO

Other names 1

  • Heather Keho Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
108124MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Regional Medical Center Anesthesiology Past Accepting new patients
St Johns Regional Medical Center Anesthesiology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1255308417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 FERGUSON RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044033",
            "telephone_number": "417-208-9034",
            "fax_number": "417-313-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 FERGUSON RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044033",
            "telephone_number": "417-208-9034",
            "fax_number": "417-313-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLING",
        "first_name": "HEATHER",
        "middle_name": "DIANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "108124",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "MO",
            "license": "108124",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "108124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100185100B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100364780B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "108602A",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050075597",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208624320",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KEHO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.