Active NPI
Saint Francis Medical Center
- Neurological Surgery Physician
- Poplar Bluff, MO
National Provider Identifier
1801791900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- SAINT FRANCIS MEDICAL CENTER
- Practice address
- 225 Physicians Park Ste 200
Poplar Bluff, MO 63901-3921 - Phone
- (573) 331-5677
- Fax
- (573) 331-5678
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim G Wittenborn, CPCS
- Title
- Director, MSS and Cred
- Phone
- (573) 331-3080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
225 Physicians Park Ste 200
Poplar Bluff, MO 63901-3921
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1801791900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801143",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801143",
"telephone_number": "573-331-3000",
"fax_number": "573-331-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 PHYSICIANS PARK STE 200",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013921",
"telephone_number": "573-331-5677",
"fax_number": "573-331-5678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT FRANCIS MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "WITTENBORN",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "DIRECTOR, MSS AND CRED",
"authorized_official_telephone_number": "573-331-3080",
"authorized_official_credential": "CPCS"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
- Saint Francis Medical Center (Kneibert Clinic)
- Saint Francis Medical Center (Physicians Park General Surgery)
- Saint Francis Medical Center (Saint Francis Clinic Poplar Bluff)
- Saint Francis Medical Center (Saint Francis Laboratory Poplar Bluff)
- Saint Francis Medical Center (Saint Francis Clinic Poplar Bluff)
- Saint Francis Medical Center (Kneibert Clinic)
- Saint Francis Medical Center (Saint Francis Clinic Poplar Bluff Northwest Medical)
- Faith Elisabeth Salamone
- Juan Carlos Salazar, M.D.
- Kiptoo Kipyator Sammin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.