Active NPI
Gary Warren Hamlin, D.O.
- Family Medicine Physician
- Joplin, MO
National Provider Identifier
1295936292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34816
- Practice address
- 101 N Range Line Rd
Northpark Mall Ste 246
Joplin, MO 64801-4118 - Phone
- (417) 781-4250
- Fax
- (417) 781-5544
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34816 | MO | |
| Family Medicine Physician | 207Q00000X | 34816 | MO | Primary |
Addresses
Primary practice location
101 N Range Line Rd
Northpark Mall Ste 246
Joplin, MO 64801-4118
Mailing address
PO Box 1300
Joplin, MO 64802-1300
Phone (417) 781-4250
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009 | Other | ACOEP BOARD CERTIFIED | |
| 2134 | Other | NBEOPS BOARD CERTIFIED | |
| 32246 | Other | MO | BNDD |
| 34816 | Other | MO | LICENSE NO. |
| 7850 | Other | ACOFP BOARD CERTIFIED |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34816 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295936292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1300",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648021300",
"telephone_number": "417-781-4250",
"fax_number": "417-781-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N RANGE LINE RD",
"address_2": "NORTHPARK MALL STE 246",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648014118",
"telephone_number": "417-781-4250",
"fax_number": "417-781-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMLIN",
"first_name": "GARY",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "34816",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "34816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACOEP BOARD CERTIFIED",
"identifier": "1009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBEOPS BOARD CERTIFIED",
"identifier": "2134",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "32246",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO.",
"identifier": "34816",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACOFP BOARD CERTIFIED",
"identifier": "7850",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.