Active NPI
James Paul Sisk II, D.O.
- Hospitalist Physician
- Joplin, MO
National Provider Identifier
1790726222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2012017692
- Practice address
- 1102 W 32ND St
Joplin, MO 64804-3503 - Phone
- (417) 347-4570
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3787 | OK | |
| Hospitalist Physician | 208M00000X | 3787 | OK | |
| Internal Medicine Physician | 207R00000X | 2012017692 | MO | |
| Hospitalist Physician | 208M00000X | 2012017692 | MO | Primary |
Addresses
Primary practice location
1102 W 32ND St
Joplin, MO 64804-3503
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100102650A | Medicaid | OK |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012017692 | MO | MD | Hospitalist Physician |
| 3787 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newkirk Rural Health Clinic | Past | Accepting new patients | |
| Internal Medicine Associates of Ponca City PLLC | 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.
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
-
- Geriatric Medicine (Internal Medicine) Physician
- Ponca City, OK
- NPI 1811073158
-
- Family Medicine Physician
- Newkirk, OK
- NPI 1073538666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1790726222",
"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": "417-347-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043503",
"telephone_number": "417-347-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISK",
"first_name": "JAMES",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "3787",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OK",
"license": "3787",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2012017692",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2012017692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100102650A",
"state": "OK"
}
],
"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 Apr 6, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.