Individual provider Active NPI

Samuel K Turner Jr., D.O.

  • Internal Medicine Physician
  • Joplin, MO
National Provider Identifier
1356340368
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5J96 Issued in MO
Practice address
702 E 34TH St
#101
Joplin, MO 64804-3967
Phone
(417) 782-3032
NPI assigned
Jul 20, 2005
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R5J96 MO Primary

Addresses

Primary practice location

702 E 34TH St
#101
Joplin, MO 64804-3967

Mailing address

702 E 34TH St
#101
Joplin, MO 64804-3967
Phone (417) 782-3032

Other identifiers 2

IdentifierTypeStateIssuer
12848OtherMOPROVIDER NUMBER
242641702MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000265 MO Practitioner - Internal Medicine 0042381345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

702 E 34TH St
Suite 101
Joplin, MO 64804-3900
Phone (417) 782-3032

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5J96MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel K. Turner D.O., P.C. CurrentSince Oct 1, 1997 Accepting new patients

Locations

702 E 34th St
Ste 101
Joplin, MO 64804
Phone (417) 782-3032

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1356340368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E 34TH ST",
            "address_2": "#101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043967",
            "telephone_number": "417-782-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 E 34TH ST",
            "address_2": "#101",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043967",
            "telephone_number": "417-782-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5J96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "12848",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242641702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.