Individual provider Active NPI

Scott Michael McClintick, D.O.

  • Otolaryngology Physician
  • Joplin, MO
National Provider Identifier
1295933984
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2011005778 Issued in MO
Practice address
1331 W 32ND St
Joplin, MO 64804-1601
Phone
(417) 347-6767
Fax
(417) 347-6769
NPI assigned
Jul 5, 2007
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2005019616 MO
Otolaryngology Physician 207Y00000X 4053 IA
Otolaryngology Physician 207Y00000X 2011005778 MO Primary

Addresses

Primary practice location

1331 W 32ND St
Joplin, MO 64804-1601

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110803000601 MO Practitioner - OtolaryngologyPractitioner - Maxillofacial Surgery 5799818274 Reassigns benefits to 3 organizations
I20130103000111 KS Practitioner - Otolaryngology 5799818274 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Maxillofacial Surgery
Education
Kansas Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians
Labette County Medical CenterGroup PAC ID 5496664369, 74 clinicians
Hospital District No 1 Crawford CountyGroup PAC ID 3476464538, shared by 11 NPIs, 22 clinicians
Freeman Neosho HospitalGroup PAC ID 4284624552, shared by 6 NPIs, 43 clinicians

Practice addresses (Care Compare)

1331 W 32ND St
Joplin, MO 64804-1601
Phone (417) 347-6767

1606 N Broadway St
Pittsburg, KS 66762-3022
Phone (620) 308-7245

1902 S US Hwy 59
Physician Group
Parsons, KS 67357-4948
Phone (620) 820-5800

307 N Hospital Dr
Girard, KS 66743-2047

336 S Jefferson St
Neosho, MO 64850-1769
Phone (417) 455-4200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision28
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2005019616MOMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Neosho Hospital CurrentSince Jan 1, 2014 Accepting new patients
Hospital District No 1 Crawford County CurrentSince Jul 1, 2013 Accepting new patients
Labette County Medical Center CurrentSince Jul 14, 2012 Accepting new patients
Labette County Medical Center Current Accepting new patients
Freeman Neosho Hospital CurrentSince Jan 1, 2014 Accepting new patients
Hospital District No 1 Crawford County CurrentSince Jul 1, 2013 Accepting new patients
Hospital District No 1 Crawford County Current Accepting new patients
Freeman Neosho Hospital CurrentSince Jan 1, 2026 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jul 25, 2011 Accepting new patients
Labette County Medical Center CurrentSince Jul 14, 2012 Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

324 S Main St
Erie, KS 66733
Phone (620) 244-3291

109 S Main St
Fort Scott, KS 66701
Phone (620) 223-7008

302 N Hospital Dr
Girard, KS 66743
Phone (620) 724-8291

307 N Hospital Dr
Ste 3
Girard, KS 66743
Phone (620) 724-6699

307 N Hospital Dr
Ste 5
Girard, KS 66743
Phone (620) 724-4659

2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

100 N Pine St
Pittsburg, KS 66762
Phone (620) 231-3750

1606 N Broadway St
Pittsburg, KS 66762
Phone (620) 231-0958

510 Park St
Anderson, MO 64831
Phone (417) 845-0545

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200

Interoperability endpoints

  • Direct secure messaging: scott.mcclintick@khindirect.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1295933984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-6767",
            "fax_number": "417-347-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041601",
            "telephone_number": "417-347-6767",
            "fax_number": "417-347-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTICK",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2005019616",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "4053",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2011005778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.