Individual provider Active NPI

Jerry Donald Howard Jr., MD

  • Diagnostic Radiology Physician
  • West Plains, MO
National Provider Identifier
1669565552
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2006019828 Issued in MO
Practice address
1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone
(417) 257-6713
Fax
(417) 257-5878
NPI assigned
Oct 2, 2006
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2006019828 MO Primary

Addresses

Primary practice location

1100 N Kentucky Ave
West Plains, MO 65775-2029

Mailing address

26 Dogwood Cir
West Plains, MO 65775-5171
Phone (417) 256-4666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100714000404 MO Practitioner - Diagnostic Radiology 0749312544 Reassigns benefits to 1 organization
I20190724001775 OK Practitioner - Diagnostic Radiology 0749312544 Reassigns benefits to 1 organization
I20191002001567 TX Practitioner - Diagnostic Radiology 0749312544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Practice addresses (Care Compare)

1 Choctaw Way
Talihina, OK 74571-2022
Phone (539) 316-6391

109 Kerr Blvd
Poteau, OK 74953-5231
Phone (539) 316-6391

1127 S George Nigh Expy
Choctaw Nation Health Care McAlester
McAlester, OK 74501-7143
Phone (539) 316-6391

1201 W Liberty Rd
Choctaw Nation Health Care Atoka
Atoka, OK 74525-1639
Phone (539) 316-6391

1300 E Martin Luther King Dr
Broken Bow, OK 74728-4160
Phone (918) 567-7000

1801 Chukka Hina
Durant, OK 74701-7117
Phone (539) 316-6391

2204 E Main STR
Choctaw Nation Health Care Stigler
Stigler, OK 74462-2822
Phone (539) 316-6391

410 N M St
Choctaw Nation Health Care Hugo
Hugo, OK 74743-1820
Phone (539) 316-6391

902 Lincoln Rd
Choctaw National Health Care Idabel
Idabel, OK 74745-7817
Phone (539) 316-6391

One Choctaw Way
Talihina, OK 74571-2022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006019828MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Apr 1, 2010 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Aug 13, 2019 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Aug 13, 2019 Accepting new patients
Ozarks Medical Center Diagnostic Radiology CurrentSince Apr 1, 2010 Accepting new patients

Locations

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

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

4500 S Garnett Rd
Ste 112
Tulsa, OK 74146
Phone (972) 665-8498

4500 S Garnett Rd
Ste 919
Tulsa, OK 74146
Phone (918) 728-6145

744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1669565552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DOGWOOD CIR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657755171",
            "telephone_number": "417-256-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752029",
            "telephone_number": "417-257-6713",
            "fax_number": "417-257-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JERRY",
        "middle_name": "DONALD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2006019828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.