Active NPI
Deniane John, MD
- Family Medicine Physician
- Ste Genevieve, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2022030257
- Practice address
- 753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820 - Phone
- (573) 883-2782
- Fax
- (573) 883-3681
- NPI assigned
- Jul 9, 2019
- Last updated
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125-075238 | IL | |
| Family Medicine Physician | 207Q00000X | 2022030257 | MO | Primary |
Addresses
Primary practice location
753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Mailing address
PO Box 366
Ste Genevieve, MO 63670-0366
Phone (573) 883-4473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ste Genevieve County Memorial Hospital
Practice addresses (Care Compare)
16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270
2019 Broadwater Ave
Billings, MT 59102-4810
Phone (406) 237-8855
255 Boderman
Bloomsdale, MO 63627-9099
Phone (573) 483-9492
753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone (573) 883-2782
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022030257 | MO | MD | Family Medicine Physician |
| 125-075238 | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Family Medicine | Current | Accepting new patients |
| Ste Genevieve County Memorial Hospital | Past | Accepting new patients |
Locations
255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727
120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199
575 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-7424
590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455
753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782
800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
Interoperability endpoints
- djohn@mhccaremail.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St Vincent Healthcare
- Clinic/Center
- Billings, MT
- NPI 1508289703
-
dba Ste Genevieve Surgical Care
- Surgery Physician
- Ste Genevieve, MO
- NPI 1619026580
-
dba Apple Kids Pediatrics
- Rural Health Clinic/Center
- Ste Genevieve, MO
- NPI 1730238551
-
dba Family Heath Care Pointe Basse
- Rural Health Clinic/Center
- Ste Genevieve, MO
- NPI 1801817416
-
dba Pine Drive Medical Centre
- Rural Health Clinic/Center
- Ste Genevieve, MO
- NPI 1770504557
-
dba Billings - DPP (Diabetes Prevention Program)
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1003701558
-
dba Intermountain Health West End Clinic - Primary Care
- Family Medicine Physician
- Billings, MT
- NPI 1891494258
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
-
dba Intermountain Health St Vincent Regional Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
- General Acute Care Hospital
- Billings, MT
- NPI 1396916276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1881256014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366",
"city": "STE GENEVIEVE",
"state": "MO",
"postal_code": "636700366",
"telephone_number": "573-883-4473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 POINTE BASSE DR",
"city": "STE GENEVIEVE",
"state": "MO",
"postal_code": "636701820",
"telephone_number": "573-883-2782",
"fax_number": "573-883-3681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "DENIANE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125-075238",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2022030257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ste Genevieve, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.