Individual provider Active NPI

Garry Erskine Finke, M.D.

  • Pediatrics Physician
  • West Plains, MO
National Provider Identifier
1578890257
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2009031646 Issued in MO
Practice address
1137 Independence Dr
West Plains, MO 65775-4221
Phone
(417) 293-8464
NPI assigned
Nov 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2009031646 MO Primary

Addresses

Primary practice location

1137 Independence Dr
West Plains, MO 65775-4221

Mailing address

1137 Independence Dr
West Plains, MO 65775-4221
Phone (417) 255-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141210001382 MO Practitioner - Pediatric Medicine 8123340718 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009031646MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Current Accepting new patients
Ozarks Medical Center CurrentSince Dec 11, 2014 Accepting new patients
Ozarks Medical Center CurrentSince Dec 11, 2014 Accepting new patients
Rural Alliance for Better Family Health CurrentSince Oct 26, 2014 Accepting new patients
Rural Alliance for Better Family Health CurrentSince Oct 26, 2014 Accepting new patients

Locations

1137 Independence Dr
West Plains, MO 65775
Phone (417) 255-8464

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Organizations & group practices 5

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1578890257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 INDEPENDENCE DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754221",
            "telephone_number": "417-255-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 INDEPENDENCE DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754221",
            "telephone_number": "417-293-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKE",
        "first_name": "GARRY",
        "middle_name": "ERSKINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2009031646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.