Henry D. Petry, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

31192 Issued in MO

Practice address

931 E 32ND St
Joplin, MO 64804-2808

Phone

(417) 347-4374

NPI assigned

Dec 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Geriatric MedicineAlso: Internal Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Home Care and Hospice Home health agency, Springfield, MO, CCN 267629
• Integrity Home Care + Hospice Home health agency, Springfield, MO, CCN 267576
• Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
• Neighborhoods at Quail Creek, the Nursing home, Springfield, MO, CCN 265799

Merit-based Incentive Payment System (MIPS)

Final score

81.37 of 100Reported as group

Quality

60.15

Promoting interoperability

100

Improvement activities

40

Cost

77.74

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Freeman-Oak Hill Health System

  • Multi-Specialty Clinic/Center
  • Joplin, MO
  • NPI 1679517023
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Freeman-Oak Hill Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Webb City, MO
  • NPI 1114394228

  Hospital

  Care Compare affiliation
• Freeman-Oak Hill Health System

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1265546048
  Care Compare affiliation
• Integrity Home Care, LLC

  • Home Health Agency
  • Joplin, MO
  • NPI 1205551363
  Care Compare affiliation
• Integrity Home Care, LLC

  • Home Health Agency
  • Monett, MO
  • NPI 1578288635
  Care Compare affiliation
• Integrity Home Care, LLC

  • Home Health Agency
  • Springfield, MO
  • NPI 1821096611
  Care Compare affiliation
• Integrity Home Care, LLC

  • Home Health Agency
  • Lebanon, MO
  • NPI 1932824091
  Care Compare affiliation
• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  Care Compare affiliation
• Phoenix Home Care, LLC

  • Home Health Agency
  • Springfield, MO
  • NPI 1336437623
  Care Compare affiliation
• R H Montgomery Properties, Inc

  • Skilled Nursing Facility
  • Springfield, MO
  • NPI 1730292863

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1770568164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042808",
            "telephone_number": "417-347-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "HENRY",
        "middle_name": "D.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "31192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240027425",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Nathaniel Peterson, DPT
• Heather N Peterson, LCSW
• Heidi Jane Peterson, CRNA
• Jeannie Marie Peterson, CRNA
• Shawn Larae Peterson, PTA
• Paul David Petry, D.O.
• Kendyl Petty
• Sean C Pfeffer, MD
• CHI Pham
• Hao Pham

• Geriatric Medicine (Family Medicine) Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Geriatric Medicine (Family Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.