NPIMap

Individual provider Active NPI

Jan F Onik, DO

  • Family Medicine Physician
  • Louisiana, MO
National Provider Identifier
1982604930
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R5C36 Issued in MO
Practice address
211 S 3Rd St
Louisiana, MO 63353-2000
Phone
(573) 754-5555
Fax
(573) 754-4077
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R5C36 MO Primary

Addresses

Primary practice location

211 S 3Rd St
Louisiana, MO 63353-2000

Mailing address

211 S 3Rd St
Louisiana, MO 63353-2000
Phone (573) 754-5555

Other identifiers 2

IdentifierTypeStateIssuer
241712710MedicaidMO
241712728MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000085 MO Practitioner - Family Practice 5890868111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hannibal Regional Healthcare System IncGroup PAC ID 1254236300, 256 clinicians

Practice addresses (Care Compare)

211 S 3Rd St
Louisiana, MO 63353-2000
Phone (573) 754-5555

905 Hwy 161
Bowling Green, MO 63334-2431
Phone (573) 324-2241

Hospital & facility affiliations

  • Pike County Health Dept/Home Health & Hospice Home health agency, Bowling Green, MO, CCN 267037
  • Elara Caring Home health agency, Bridgeton, MO, CCN 267595
  • Hannibal Regional Hospital Hospital, Hannibal, MO, CCN 260025
  • Pike County Memorial Hospital Hospital, Louisiana, MO, CCN 261333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5C36MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Apr 1, 2014 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Apr 1, 2014 Accepting new patients
Hannibal Regional Healthcare System, Inc PastSince Jul 1, 2008 Accepting new patients
Hannibal Regional Healthcare System, Inc Family Medicine Past Accepting new patients

Locations

905 Highway 161
Bowling Green, MO 63334
Phone (573) 324-2241

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

211 S 3rd St
Louisiana, MO 63353
Phone (573) 754-5555

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: janonik@hrmg.allscriptsdirect.net

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1982604930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S 3RD ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532000",
            "telephone_number": "573-754-5555",
            "fax_number": "573-754-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S 3RD ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532000",
            "telephone_number": "573-754-5555",
            "fax_number": "573-754-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONIK",
        "first_name": "JAN",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R5C36",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241712710",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241712728",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisiana, MO

Sources for this page

Verify at the official NPI Registry.