Active NPI
Elizabeth Diann Hunter, M.D.
- Pediatric Adolescent Medicine Physician
- Joplin, MO
National Provider Identifier
1750407607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 2000152161
- Practice address
- 2817 MC Clelland Blvd
Suite 350
Joplin, MO 64804-1629 - Phone
- (417) 782-5522
- Fax
- (417) 206-9599
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 2000152161 | MO | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 04-24575 | KS | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 15722 | OK |
Addresses
Primary practice location
2817 MC Clelland Blvd
Suite 350
Joplin, MO 64804-1629
Mailing address
2817 MC Clelland Blvd
Suite 350
Joplin, MO 64804-1629
Phone (417) 782-5522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-24575 | KS | MD | Pediatric Adolescent Medicine Physician |
| 15722 | OK | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Southwest Missouri, LLC | Adolescent Medicine | Past | Accepting new patients |
| Southwest Medical Center | Past | Accepting new patients | |
| Grant County Medical Equipment, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatric Adolescent Medicine Physician
- Joplin, MO
- NPI 1518083435
-
- Oxygen Equipment & Supplies (DME)
- Liberal, KS
- NPI 1821452400
-
- Diagnostic Radiology Physician
- Liberal, KS
- NPI 1285503078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1750407607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 MC CLELLAND BLVD",
"address_2": "SUITE 350",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041629",
"telephone_number": "417-782-5522",
"fax_number": "417-206-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 MC CLELLAND BLVD",
"address_2": "SUITE 350",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041629",
"telephone_number": "417-782-5522",
"fax_number": "417-206-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "ELIZABETH",
"middle_name": "DIANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MO",
"license": "2000152161",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "KS",
"license": "04-24575",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "OK",
"license": "15722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.