Regional Plastic & Reconstructive

Primary specialty

SpecialistTaxonomy code 174400000X

License

R7D97 Issued in MO

Legal business name

REGIONAL PLASTIC & RECONSTRUCTIVE

Practice address

520 E 32ND St
Joplin, MO 64804-3904

Phone

(417) 782-3100

Fax

(417) 782-2342

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Donja Jean Woodcock

Title

Office Manager

Phone

(417) 782-3100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Duane W Sherrod, M.D. Former legal business name

Locations

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1578749024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043904",
            "telephone_number": "417-782-3100",
            "fax_number": "417-782-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043904",
            "telephone_number": "417-782-3100",
            "fax_number": "417-782-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PLASTIC & RECONSTRUCTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "WOODCOCK",
        "authorized_official_first_name": "DONJA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-782-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "R7D97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "CN5879",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIF",
            "identifier": "1982668125",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duane W Sherrod, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Justin W Reed, D.O.
• Lori M Reed, CNM
• Richard J. Reed, D.D.S.
• Tylor Scott Reeves-Wagoner, BSN, RN
• Tina R Reeves, NP
• Regional Surgery Center, P.C.
• Amanda Renee Rehmert, PSY.D.
• Kyra L Reichardt, NP
• Sabrina Kalani Reineke, APRN
• Renewed Mental Health LLC

• Specialist in Joplin, MO
• Providers in Joplin, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.