NPIMap

Organization Active NPI

Robert L Sweeten MD Inc

Doing business as Sweeten Medical Clinic

  • Internal Medicine Physician
  • Neosho, MO
National Provider Identifier
1407052616
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007032918 Issued in MO
Legal business name
ROBERT L SWEETEN MD INC
Doing business as
Sweeten Medical Clinic
Practice address
1355 Rocketdyne Rd
Neosho, MO 64850-3106
Phone
(417) 451-7425
Fax
(417) 451-7455
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Mrs. Tina Rene Sweeten
Title
Manager
Phone
(417) 540-6798

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 12749 OK
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 2007032918 MO Primary

Addresses

Primary practice location

1355 Rocketdyne Rd
Neosho, MO 64850-3106

Mailing address

PO Box 4725
Joplin, MO 64803-4725
Phone (417) 451-7425

Other identifiers 1

IdentifierTypeStateIssuer
000015453OtherMOMEDICARE PTAN

Other names 1

  • Sweeten Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1407052616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4725",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648034725",
            "telephone_number": "417-451-7425",
            "fax_number": "417-451-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 ROCKETDYNE RD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648503106",
            "telephone_number": "417-451-7425",
            "fax_number": "417-451-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L SWEETEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "SWEETEN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-540-6798",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "12749",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007032918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000015453",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweeten Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.