Joseph W Novinger, D.O.
Individual provider Active NPI Family Medicine Physician · Kirksville, MO
NPI 1528031770 · NPPES record last updated Nov 6, 2012
Key facts
- NPI
- 1528031770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R5N07 (MO)
- Practice address
- 1506 Crown Dr
Kirksville, MO 63501-2553 - Phone
- (660) 627-4493
- Fax
- (660) 627-4288
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Missouri Health Council Inc
Practice addresses (Care Compare)
209 N Missouri St
Macon, MO 63552-1745
Phone (660) 395-5045
402 W Jefferson
Kirksville, MO 63501-3407
Phone (660) 627-2229
52334 S Bus Hwy 5
Milan, MO 63556
Phone (660) 265-1042
Hospital & facility affiliations
- Elara Caring
- Northeast Regional Medical Center
- Macon County Samaritan Memorial Hospital
- Scotland County Hospital
- Boone Hospital Center
- University of Missouri Health Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090415000110 | MO | Practitioner - Family Practice | 9739236472 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Missouri Health Council, Inc. | Family Medicine | Current | Accepting new patients |
| Northeast Missouri Health Council, Inc | Current |
Accepting new patients | |
| Northeast Missouri Health Council, Inc. | Current |
Accepting new patients | |
| Northeast Missouri Health Council, Inc. | Family Medicine | Current | Accepting new patients |
| Northeast Missouri Health Council Inc | Current |
Accepting new patients | |
| Northeast Missouri Health Council Inc | Family Medicine | Current |
Accepting new patients |
Locations
104 E Jackson St
Edina, MO 63537
Phone (660) 397-3517
1506 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
402 W Jefferson St
Kirksville, MO 63501
Phone (660) 665-2741
1416 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
209 N Missouri St
Macon, MO 63552
Phone (660) 385-4999
52334 Business Highway 5
Milan, MO 63556
Phone (660) 265-1042
Interoperability endpoints
- joseph.novinger.p1@direct.nmhcinc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R5N07 | MO | Yes |
Addresses
Primary practice location
1506 Crown Dr
Kirksville, MO 63501-2553
Mailing address
1416 Crown Dr
Kirksville, MO 63501-2548
Phone (660) 627-5757
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2435646622 | Medicaid | MO |
Other providers in Kirksville, MO
- Northeast Missouri Health Council, Inc.
- Northeast Missouri Health Council, Inc.
- Northeast Missouri Health Council, Inc.
- Northeast Missouri Physicians Services
- William Norton
- Tracy Novinger
- Nicholas Noyce
- OB GYN Care of Northeast Missouri LLC
- Taylor Oberhelman-McLeod
- Eryk Ocasio
All providers in Kirksville, MO · Family 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 Nov 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.