Organization Active NPI

Gastroenterology of the Four States,LLC

  • Gastroenterology Physician
  • Joplin, MO
National Provider Identifier
1316589708
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY OF THE FOUR STATES,LLC
Practice address
2024 S Maiden LN Ste 204
Joplin, MO 64804-0319
Phone
(417) 222-3434
Fax
(417) 222-3435
NPI assigned
Oct 17, 2019
Last updated
Nov 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Nadia L Sinnett
Title
Office Manager
Phone
(417) 222-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

2024 S Maiden LN Ste 204
Joplin, MO 64804-0319

Mailing address

PO Box 4439
Joplin, MO 64803-4439
Phone (417) 214-0034

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gidocs2020@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1316589708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4439",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648034439",
            "telephone_number": "417-214-0034",
            "fax_number": "417-222-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 S MAIDEN LN STE 204",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648040319",
            "telephone_number": "417-222-3434",
            "fax_number": "417-222-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY OF THE FOUR STATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "SINNETT",
        "authorized_official_first_name": "NADIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-222-3434"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gidocs2020@gmail.com",
            "affiliation": "N",
            "address_1": "2024 S Maiden Ln Ste 204",
            "city": "Joplin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "648040319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 12, 2019; 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.