Denise M. Hamar, DO
Individual provider Active NPI Pediatrics Physician · Carthage, MO
NPI 1760412118 · NPPES record last updated Apr 25, 2010
Key facts
- NPI
- 1760412118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- R7F62 (MO)
- Practice address
- 1221 Oak St.
Carthage Children'S Clinic, LLC
Carthage, MO 64836-3059 - Phone
- (417) 359-9291
- Fax
- (417) 359-9241
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7F62 | MO | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R7F62 | MO | Yes |
Addresses
Primary practice location
1221 Oak St.
Carthage Children'S Clinic, LLC
Carthage, MO 64836-3059
Mailing address
1221 Oak St.
Carthage, MO 64836-3059
Phone (417) 359-9291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242277424 | Medicaid | MO | |
| 26666 | Other | MO | ANTHEM |
NPI Registry JSON
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272153600000",
"number": "1760412118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 OAK ST.",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648363059",
"telephone_number": "417-359-9291",
"fax_number": "417-359-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 OAK ST.",
"address_2": "CARTHAGE CHILDREN'S CLINIC, LLC",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648363059",
"telephone_number": "417-359-9291",
"fax_number": "417-359-9241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMAR",
"first_name": "DENISE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2010-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R7F62",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "242277424",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "26666",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carthage, MO
- Grace Theios, LLC
- H I S Unlimited, Inc.
- H I S Unlimited, Inc.
- Jonathan David Haffner
- Jeff Hahnen
- Rebecca Kathleen Hamlin
- Cameron Kyle Harrington
- Julie Hawkins
- Heartland Kidney Center LLC
- Heartland Kidney Physicians LLC
All providers in Carthage, MO · Pediatrics 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 Apr 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.