Mary Stuppy, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

102912 Issued in MO

Practice address

2817 Saint Johns Blvd
Joplin, MO 64804-1563

Phone

(417) 781-2727

Fax

(417) 625-2279

NPI assigned

Mar 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St John'S Regional Medical Center

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1700032653
  NPD (past)
• St Johns Regional Medical Center

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1841240546
  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1265409890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-781-2727",
            "fax_number": "417-625-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-781-2727",
            "fax_number": "417-625-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUPPY",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "102912",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MO",
            "license": "102912",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "102912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208646123",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182790B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100368050E",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Lynn Street, MA, LPC
• Brandon Harris Stromgren
• Rachel Stroud
• Desiree Stuart, PA-C
• Student Progress LLC
• Gary T. Sturtevant, CRNA
• Jennifer L Sullivan
• Saydi Susanne Sullivan, DC
• Stephen Craig Summers, MS
• Sunrise Counseling Services, LLC

• Anesthesiology Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.