Daniel J. Lamothe-Jost, M.D.
Individual provider Active NPI Rheumatology Physician · Columbia, MO
NPI 1689676512 · NPPES record last updated Jan 7, 2015
Key facts
- NPI
- 1689676512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- 110877 (MO)
- Practice address
- 401 N Keene St
Columbia, MO 65201-6625 - Phone
- (573) 876-1622
- Fax
- (573) 876-1629
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 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 |
|---|---|---|---|---|
| I20081217000680 | MO | Practitioner - Rheumatology |
4385706829 |
Reassigns benefits to 5 organizations Practice locations: Columbia, MO |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110877 | MO | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pike County Memorial Hospital | Current |
Accepting new patients | |
| Pike County Memorial Hospital | Current |
Accepting new patients | |
| Pike County Memorial Hospital | Current | Accepting new patients | |
| Putnam County Memorial Hospital | Current | Accepting new patients | |
| Pike County Memorial Hospital | Current |
Accepting new patients | |
| Pike County Memorial Hospital | Current | Accepting new patients | |
| Scotland County Memorial Hospital | Current |
Accepting new patients | |
| Pike County Memorial Hospital | Current |
Accepting new patients | |
| Scotland County Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Scotland County Memorial Hospital | Current |
Accepting new patients |
Locations
1015 W Adams St
Bowling Green, MO 63334
Phone (573) 324-5300
2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584
450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 110877 | MO | |
| Rheumatology Physician | 207RR0500X | 110877 | MO | Yes |
Addresses
Primary practice location
401 N Keene St
Columbia, MO 65201-6625
Mailing address
401 Keene St
Columbia, MO 65201-6625
Phone (573) 876-1622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208304907 | Medicaid | MO |
Other providers in Columbia, MO
- Aaron Spencer Lambdin
- Peter Clayton Lamear
- Lamelot Home Care LLC
- Katherine Lammers
- Jared Andrew Lammert
- Lawrence M Lampton
- John Charles Lance
- Susan Taylor Lance
- Robert W Lancey
- Louis Landhuis
All providers in Columbia, MO · Rheumatology 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 Jan 7, 2015. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.