John J. Jonikas, D.O.
Individual provider Active NPI Emergency Medicine Physician · Cassville, MO
NPI 1467657601 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467657601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 116545 (MO)
- Practice address
- 94 Main St
Cassville, MO 65625-1610 - Phone
- (417) 847-6000
- Fax
- (417) 846-1845
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 116545 | MO | Yes |
Addresses
Primary practice location
94 Main St
Cassville, MO 65625-1610
Mailing address
PO Box 4397
Joplin, MO 64803-4397
Phone (417) 847-6000
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All providers in Cassville, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.