Joplin Pathology Professionals PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

JOPLIN PATHOLOGY PROFESSIONALS PC

Practice address

2727 McClelland Blvd
St. John's Regional Med Ctr Pathology Dept
Joplin, MO 64804-1626

Phone

(417) 625-2130

Fax

(417) 625-2907

NPI assigned

Nov 2, 2010

Last updated

May 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael P. Hurly, MDNPI 1417931023

Title

President

Phone

(417) 623-6330

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael P Hurly, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Joplin, MO
  • NPI 1417931023
  Authorized official Same address or phone

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1962702225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MCCLELLAND BLVD",
            "address_2": "205B",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041623",
            "telephone_number": "417-623-6330",
            "fax_number": "471-623-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MCCLELLAND BLVD",
            "address_2": "ST. JOHN'S REGIONAL MED CTR PATHOLOGY DEPT",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041626",
            "telephone_number": "417-625-2130",
            "fax_number": "417-625-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOPLIN PATHOLOGY PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "HURLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-623-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962702225",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200317740A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200689110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joplin Pain Care Group LLC
• Joplin Pharmacy Associates (Senior Care Pharmacy)
• Joplin Primary Care Inc
• Joplin Residential, LLC (Silver Creek Assisted Living)
• Joplin Rheumatology LLC
• Joplin Surgical Arts, LLC

• Anatomic Pathology & Clinical Pathology Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.