Michael L Neely, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2013013690 Issued in MO

Practice address

1313 S Range Line Rd
Joplin, MO 64801-5588

Phone

(417) 623-2207

NPI assigned

Feb 27, 2007

Last updated

Jun 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1255468468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S RANGE LINE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015588",
            "telephone_number": "417-623-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S RANGE LINE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015588",
            "telephone_number": "417-623-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013013690",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01025419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chidinma Chiaku Ndukwu
• Festus A Ndukwu, MD
• Carson Hays Neal, DO
• James Neal Jr., PHARM D
• Hannah Neely-Beaver, LSCSW, LCSW
• Soumya Neerukonda
• Courtnye Michelle Neice, M.S. CCC-SLP
• Rachel Renelle Neier, RN, NNP-BC
• Susan Margaret Nel
• Sarah E Neldeberg, MS, NCC, PLPC

• Family Medicine Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.