Individual provider Active NPI

Jama R Gilpin, MD

  • Emergency Medicine Physician
  • Stockton, MO
National Provider Identifier
1356413702
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R9E60 Issued in MO
Practice address
807 Owens Mill Rd
Stockton, MO 65785-8359
Phone
(417) 276-5500
Fax
(417) 876-3812
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9E60 MO
General Practice Physician 208D00000X R9E60 MO
Hospitalist Physician 208M00000X R9E60 MO
Emergency Medicine Physician 207P00000X R9E60 MO Primary

Addresses

Primary practice location

807 Owens Mill Rd
Stockton, MO 65785-8359

Mailing address

1401 S Park St
El Dorado Springs, MO 64744-2037
Phone (417) 876-2511

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
I20070827000305 MO Practitioner - Emergency MedicinePractitioner - General Practice 9335231034 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9E60MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Cassville CurrentSince Sep 6, 2023 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Dec 18, 2019 Accepting new patients
Texas County Memorial Hospital Emergency Medicine CurrentSince Dec 18, 2019 Accepting new patients
Mercy Hospital Cassville CurrentSince Sep 6, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Sep 6, 2023 Accepting new patients
Mercy Hospital Aurora CurrentSince Sep 6, 2023 Accepting new patients
Mercy Hospital Aurora CurrentSince Sep 6, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Sep 6, 2023 Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Skaggs Community Hospital Association Emergency Medicine Past Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1356413702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S PARK ST",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647442037",
            "telephone_number": "417-876-2511",
            "fax_number": "417-876-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 OWENS MILL RD",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657858359",
            "telephone_number": "417-276-5500",
            "fax_number": "417-876-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILPIN",
        "first_name": "JAMA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9E60",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "R9E60",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "R9E60",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R9E60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, MO

Sources for this page

Verify at the official NPI Registry.