NPIMap

Individual provider Active NPI

Eric S Vonholten, M.D.

  • Internal Medicine Physician
  • Joplin, MO
National Provider Identifier
1992727309
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010001787 Issued in MO
Practice address
3202 McIntosh Cir Ste 201
Joplin, MO 64804-3686
Phone
(417) 347-8560
Fax
(417) 347-8564
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 045655 GA
Internal Medicine Physician 207R00000X 2010001787 MO Primary

Addresses

Primary practice location

3202 McIntosh Cir Ste 201
Joplin, MO 64804-3686

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-8560

Other identifiers 1

IdentifierTypeStateIssuer
000789874HMedicaidGA

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
I20100526000494 MO Practitioner - Internal Medicine 1951299114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, shared by 14 NPIs, 385 clinicians

Practice addresses (Care Compare)

1102 W
32ND
Joplin, MO 64804-3503

1102 W 32 St
Joplin, MO 64804-3503

307 W 11TH St
Freeman Lamar Family Care
Lamar, MO 64759-1428
Phone (417) 682-3300

3202 McIntosh Cir
Joplin, MO 64804-3686

3202 McIntosh Cir
Suite LL03
Joplin, MO 64804-3646
Phone (417) 347-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045655GAMDSpecialist
2010001787MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System Internal Medicine CurrentSince Feb 1, 2010 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Feb 1, 2010 Accepting new patients
Washington County Internal Medicine, P.C. Internal Medicine Past Accepting new patients
McRae Emergency Services, LLC Past Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

3202 McIntosh Cir
Ste 201
Joplin, MO 64804
Phone (417) 347-8318

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Compassus JoplinJoplin, MO, CCN 261593 Hospice Contracted Managing Employee Apr 13, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1992727309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-8560",
            "fax_number": "417-347-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 MCINTOSH CIR STE 201",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043686",
            "telephone_number": "417-347-8560",
            "fax_number": "417-347-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONHOLTEN",
        "first_name": "ERIC",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "045655",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010001787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000789874H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.