Jeffery O Armstrong, PA C
Individual provider Active NPI Physician Assistant · Washington, MO
NPI 1972597136 · NPPES record last updated May 27, 2014
Key facts
- NPI
- 1972597136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2013028988 (MO)
- Practice address
- 901 Patients First Dr
Suite 300
Washington, MO 63090-4700 - Phone
- (636) 390-1595
- Fax
- (636) 390-1596
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ozarks Dermatology Specialists LLC
Practice addresses (Care Compare)
3808 S Greystone CT
Springfield, MO 65804-6561
Phone (417) 889-3332
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.65 of 100
- Quality
- 84.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131007001467 | MO | Practitioner - Physician Assistant | 8527021625 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003793 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeway Dermatology Associates, PC | Past |
Accepting new patients | |
| Lakeway Dermatology Associates PC | Past |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Georgia Dermatology &Skin Cancer Center, PC | Past | Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients |
Interoperability endpoints
- jarmstrong357409@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003793 | GA | |
| Medical Physician Assistant | 363AM0700X | 003793 | GA | |
| Surgical Physician Assistant | 363AS0400X | 003793 | GA | |
| Physician Assistant | 363A00000X | 2013028988 | MO | Yes |
Addresses
Primary practice location
901 Patients First Dr
Suite 300
Washington, MO 63090-4700
Mailing address
901 Patients First Dr
Suite 300
Washington, MO 63090-4700
Phone (636) 390-1595
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01250863 | Other | MO | RAILROAD MEDICARE |
| P00185784 | Other | GA | RAILROAD MEDICARE |
| 100001710D | Medicaid | GA | |
| DC4061 | Other | GA | RAILROAD MEDICARE |
Other providers in Washington, MO
- Americare at Victorian Manor of Washington, LLC
- Christopher Michael Anderson
- Grace Annunziata
- Arch Medical Services, Inc.
- Lydia Luisa Archuleta
- Fiona Ann Kluser Aronberg
- Casey P Aschinger
- Lauren A Asher
- Aspen Valley Senior Homes, LLC
- Athletico LTD
All providers in Washington, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.