Active NPI
Mercy Clinic Joplin LLC
- Diagnostic Radiology Physician
- Bee Cave, TX
National Provider Identifier
1841605029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MERCY CLINIC JOPLIN LLC
- Practice address
- 11701 Bee Cave Pkwy
Ste 213
Bee Cave, TX 78738-6466 - Phone
- (417) 820-9219
- NPI assigned
- Jun 25, 2014
- 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
- Mr. Stuart G Stangeland
- Title
- Sr. Vice President
- Phone
- (417) 820-6556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
11701 Bee Cave Pkwy
Ste 213
Bee Cave, TX 78738-6466
Mailing address
11701 Bee Cave Pkwy
Ste 213
Bee Cave, TX 78738-6466
Phone (417) 820-9219
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rural Health Clinic/Center
- El Dorado Springs, MO
- NPI 1851427785
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403654400000",
"number": "1841605029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11701 BEE CAVE PKWY",
"address_2": "STE 213",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787386466",
"telephone_number": "417-820-9219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11701 BEE CAVE PKWY",
"address_2": "STE 213",
"city": "BEE CAVE",
"state": "TX",
"postal_code": "787386466",
"telephone_number": "417-820-9219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CLINIC JOPLIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A",
"authorized_official_last_name": "STANGELAND",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "SR. VICE PRESIDENT",
"authorized_official_telephone_number": "417-820-6556",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bee Cave, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.