Individual provider Active NPI

John W. Chesney, M.D.

  • Obstetrics & Gynecology Physician
  • Joplin, MO
National Provider Identifier
1891824256
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R3J57 Issued in MO
Practice address
1002 MC Intosh Cir
Suite 2
Joplin, MO 64804-3642
Phone
(417) 782-3500
Fax
(417) 782-2815
NPI assigned
Mar 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R3J57 MO Primary

Addresses

Primary practice location

1002 MC Intosh Cir
Suite 2
Joplin, MO 64804-3642

Mailing address

1002 MC Intosh Cir
Suite 2
Joplin, MO 64804-3642
Phone (417) 782-3500

Other identifiers 2

IdentifierTypeStateIssuer
202810305MedicaidMO
100116970AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3J57MOMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1891824256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MC INTOSH CIR",
            "address_2": "SUITE 2",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043642",
            "telephone_number": "417-782-3500",
            "fax_number": "417-782-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MC INTOSH CIR",
            "address_2": "SUITE 2",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043642",
            "telephone_number": "417-782-3500",
            "fax_number": "417-782-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNEY",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R3J57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202810305",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116970A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.