Active NPI
Wendell Dale Rankin, D.O.
- Internal Medicine Physician
- Joplin, MO
National Provider Identifier
1801902135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 32289
- Practice address
- 3126 S Jackson Ave
Ste 200
Joplin, MO 64804-2534 - Phone
- (417) 781-1600
- Fax
- (417) 627-8725
- NPI assigned
- Aug 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32289 | MO | Primary |
| Internal Medicine Physician | 207R00000X | R4696 | AR |
Addresses
Primary practice location
3126 S Jackson Ave
Ste 200
Joplin, MO 64804-2534
Mailing address
3126 S Jackson Ave
Ste 200
Joplin, MO 64804-2534
Phone (417) 781-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801902135 | Medicaid | MO | |
| 200073100A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4696 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group Missouri Inc | Internal Medicine | Past | Accepting new patients |
| Sjmgroup | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1679514277
-
- Endocrinology, Diabetes & Metabolism Physician
- Englewood, CO
- NPI 1376590034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1801902135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 S JACKSON AVE",
"address_2": "STE 200",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042534",
"telephone_number": "417-781-1600",
"fax_number": "417-627-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3126 S JACKSON AVE",
"address_2": "STE 200",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042534",
"telephone_number": "417-781-1600",
"fax_number": "417-627-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "WENDELL",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "32289",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "R4696",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801902135",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200073100A",
"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 Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.