St Johns Clinic Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E4990 Issued in AR

Legal business name

ST JOHNS CLINIC INC

Practice address

705 Phillips
Huntsville, AR 72740

Phone

(479) 738-1700

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Donn E. Sorensen

Title

Senior Vice President

Phone

(417) 829-4264

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SJC Women's Health Huntsville Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Clinic Springfield Communities

  • Rural Health Clinic/Center
  • El Dorado Springs, MO
  • NPI 1851427785

  Member Of

  NPD member

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1710187588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012580",
            "telephone_number": "417-829-4620",
            "fax_number": "417-829-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PHILLIPS",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "72740",
            "telephone_number": "479-738-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "DONN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "417-829-4264"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E4990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE SHIELD",
            "identifier": "5F873",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166387002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJC Women's Health Huntsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francis Albert Sevcik, D.C.
• Diane Joy Shott, LPC
• Terry Shott, LPC
• Solid Rock Therapy, LLC.
• Lee Sonnenberg, PHARMD
• Brianna Stangeland, APRN
• Benita L Stiles-Smith
• Madison Stocks, LCSW
• David Allen Storm, APRN
• Davin S Thomas

• Obstetrics & Gynecology Physician in Huntsville, AR
• Providers in Huntsville, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.