Individual provider Active NPI

Shayne McGowan, DO

  • Interventional Pain Medicine Physician
  • Joplin, MO
National Provider Identifier
1467199588
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
2023048831 Issued in MO
Practice address
3333 McIntosh Cir Ste 1
Joplin, MO 64804-3681
Phone
(417) 347-8055
Fax
(417) 347-8054
NPI assigned
May 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2023048831 MO
Interventional Pain Medicine Physician 208VP0014X 2023048831 MO Primary
Emergency Medicine Physician 207P00000X 8856 OK

Addresses

Primary practice location

3333 McIntosh Cir Ste 1
Joplin, MO 64804-3681

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-8400

Other practice location 1

1102 W 32nd St
Joplin, MO 64804-3503
Phone (417) 347-1111

Other practice location 2

1130 E 32nd St
Joplin, MO 64804-4034
Phone (417) 347-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240315000144 MO Practitioner - Emergency Medicine 3870939663 Reassigns benefits to 2 organizations
I20250320000450 OK Practitioner - Emergency Medicine 3870939663 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Neosho Hospital CurrentSince Sep 12, 2024 Accepting new patients
Freeman Neosho Hospital CurrentSince Sep 12, 2024 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Feb 27, 2024 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Feb 27, 2024 Accepting new patients

Locations

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

3333 McIntosh Cir
Ste 1
Joplin, MO 64804
Phone (417) 347-5437

1130 E 32nd St
Joplin, MO 64804
Phone (417) 347-2273

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Organizations & group practices 6

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1467199588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-8400",
            "fax_number": "417-347-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MCINTOSH CIR STE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043681",
            "telephone_number": "417-347-8055",
            "fax_number": "417-347-8054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043503",
            "country_code": "US",
            "telephone_number": "417-347-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044034",
            "country_code": "US",
            "telephone_number": "417-347-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "SHAYNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2023048831",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": "2023048831",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.