Individual provider Active NPI

John H Kaicher, M.D.

  • Internal Medicine Physician
  • Rogersville, MO
National Provider Identifier
1467465237
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD119698 Issued in MO
Practice address
101 S Main St
Rogersville, MO 65742-9357
Phone
(417) 753-9404
Fax
(417) 753-9137
NPI assigned
Aug 14, 2006
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 MD119698 MO Primary

Addresses

Primary practice location

101 S Main St
Rogersville, MO 65742-9357

Mailing address

101 S Main St
Rogersville, MO 65742-9357
Phone (417) 753-9404

Other practice location 1

3800 S National Ave
#600
Springfield, MO 65807-5209
Phone (417) 269-1499

Other practice location 2

543 W Hubble Dr
Marshfield, MO 65706-1532
Phone (417) 859-4878

Other identifiers 2

IdentifierTypeStateIssuer
204682801MedicaidMO
119346OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD119698MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartville Medical Center Inc PastSince Jan 1, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.kaicher@cernerdirect.coxhealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1467465237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429357",
            "telephone_number": "417-753-9404",
            "fax_number": "417-753-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657429357",
            "telephone_number": "417-753-9404",
            "fax_number": "417-753-9137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S National Ave",
            "address_2": "#600",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075209",
            "country_code": "US",
            "telephone_number": "417-269-1499",
            "fax_number": "417-269-1459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "543 W Hubble Dr",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "MO",
            "postal_code": "657061532",
            "country_code": "US",
            "telephone_number": "417-859-4878",
            "fax_number": "417-859-0889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAICHER",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD119698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204682801",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "119346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.