Northport Health Services of Missouri, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORTHPORT HEALTH SERVICES OF MISSOURI, LLC

Practice address

2218 W 32ND St
Joplin, MO 64804-3514

Phone

(417) 623-5264

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Phillip Cody Long

Title

Cfo

Phone

(205) 391-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joplin Health & Rehabilitation Center Doing business as

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernando Cavero, M.D.

  • Internal Medicine Physician
  • Sparta, MO
  • NPI 1669545711
  NPD (past)
• Edgar M. Conrad IV, D.O.

  • Internal Medicine Physician
  • Joplin, MO
  • NPI 1124055074
  NPD (past)
• Robert Leroy Sweeten Jr., M.D.

  • Internal Medicine Physician
  • Neosho, MO
  • NPI 1164509766
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1861448383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043514",
            "telephone_number": "417-623-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043514",
            "telephone_number": "417-623-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPORT HEALTH SERVICES OF MISSOURI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "CODY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-391-3600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102306701",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joplin Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joplin Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patty L Norbury, SLP
• Codee L Norris, RDH
• Sara Marie Norris, PHARM.D.
• Tammy R. Northing
• Northland Hearing Center, Inc.
• Northside Family Dentistry, LLC
• Sharon Sue Norton, ED.S.
• Matthew Nosko
• Kimia Nourmahnad, MD
• Shantra Kay Nuehring, D.O.

• All providers in Joplin, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.