Individual provider Active NPI

Michael Gerald Knapp, DO

  • Family Medicine Physician
  • Joplin, MO
National Provider Identifier
1689776148
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1B60 Issued in MO
Practice address
601 S Schifferdecker Ave
Joplin, MO 64801-3320
Phone
(417) 781-1929
Fax
(417) 781-5636
NPI assigned
Sep 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X R1B60 MO
Family Medicine Physician 207Q00000X R1B60 MO Primary

Addresses

Primary practice location

601 S Schifferdecker Ave
Joplin, MO 64801-3320

Mailing address

601 S Schifferdecker Ave
Joplin, MO 64801-3320
Phone (417) 781-1929

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
I20100928000319 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7315063310 Practice locations: Joplin, MO

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 S Schifferdecker
Joplin, MO 64801-3320

601 S Schifferdecker Ave
Joplin, MO 64801-3320
Phone (417) 781-1929

Hospital & facility affiliations

  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy Specialty Hospital Southeast Kansas Hospital, Galena, KS, CCN 170203
  • Freeman Neosho Hospital Hospital, Neosho, MO, CCN 261331
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1B60MOMDNeuromusculoskeletal Medicine & OMM Physician

Hospital & facility affiliations 7

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1689776148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S SCHIFFERDECKER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013320",
            "telephone_number": "417-781-1929",
            "fax_number": "417-781-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S SCHIFFERDECKER AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648013320",
            "telephone_number": "417-781-1929",
            "fax_number": "417-781-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "MICHAEL",
        "middle_name": "GERALD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MO",
            "license": "R1B60",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R1B60",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.