NPIMap

Organization Active NPI

St Johns Regional Medical Center

Doing business as St Johns Regional Medical Center Dept of Radiology

  • Radiology Clinic/Center
  • Joplin, MO
National Provider Identifier
1770503187
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ST JOHNS REGIONAL MEDICAL CENTER
Doing business as
St Johns Regional Medical Center Dept of Radiology
Practice address
2727 McClelland Blvd
Department of Radiology
Joplin, MO 64804
Phone
(417) 781-2727
NPI assigned
Jul 20, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Christopher S Meoli, DO
Title
Physician Executive
Phone
(417) 659-6626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2727 McClelland Blvd
Department of Radiology
Joplin, MO 64804

Mailing address

3436 Solutions Ctr
Chicago, IL 60677-0001
Phone (800) 525-7212

Other identifiers 6

IdentifierTypeStateIssuer
174847OtherMO BLUE
540564507MedicaidMO
100693700EMedicaidOK
137137OtherGHP
469128MedicaidKS
100000880NMedicaidKS

Other names 1

  • St Johns Regional Medical Center Dept of Radiology Doing business as

National Provider Directory

National Provider Directory
Part of
Catholic Health Initiatives

Locations

3436 Solutions Ctr
Chicago, IL 60677

2817 Mc Clelland Blvd
Ste 255
Joplin, MO 64804
Phone (417) 621-4400

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1770503187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "800-525-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MCCLELLAND BLVD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-781-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "MEOLI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN EXECUTIVE",
        "authorized_official_telephone_number": "417-659-6626",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BLUE",
            "identifier": "174847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540564507",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100693700E",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "137137",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "469128",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000880N",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Johns Regional Medical Center Dept of Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 3, 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.