Dr John Derick Paulson, DO | |
530 S Maiden Ln, Joplin, MO 64801-3084 | |
(417) 782-6200 | |
Not Available |
Full Name | Dr John Derick Paulson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 530 S Maiden Ln, Joplin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801077797 | NPI | - | NPPES |
26D0679044 | Other | MO | CLIA |
597780303 | Other | MO | RH MEDICAID |
P00849708 | Other | MO | RR MEDICARE |
1801077797 | Medicaid | MO | |
26-8535 | Other | MO | RH MEDICARE |
1235178930 | Medicaid | MO | |
1447412770 | Medicaid | MO | |
26D0889777 | Other | MO | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5883 (Oklahoma) | Primary |
Entity Name | Ozark Tri-county Health Care Consortium |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265428791 PECOS PAC ID: 8123918257 Enrollment ID: O20040330001501 |
Entity Name | Freeman Neosho Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083045686 PECOS PAC ID: 4284624552 Enrollment ID: O20040729000101 |
Mailing Address | Practice Location Address |
---|---|
Dr John Derick Paulson, DO 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3347 Ph: (918) 488-6001 | Dr John Derick Paulson, DO 530 S Maiden Ln, Joplin, MO 64801-3084 Ph: (417) 782-6200 |
Dr. Justin James Dillingham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3126 S Jackson Ave, Ste 101, Joplin, MO 64804 Phone: 417-208-3465 | |
Michael D David, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1130 E 32nd St, Joplin, MO 64804 Phone: 417-347-2273 Fax: 417-347-2277 | |
Dr. Stephen Ray Thomas, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Cir, Ste 302, Joplin, MO 64804 Phone: 417-347-8525 Fax: 417-347-8536 | |
Dennis Younker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 702 E 34th St Ste 202, Joplin, MO 64804 Phone: 417-347-2535 Fax: 417-347-2553 | |
Dr. Maria Fe Fiel Bruce, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3126 S Jackson Ave, Suite 201, Joplin, MO 64804 Phone: 417-781-4727 Fax: 417-627-8727 | |
Shuruk Haib, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2216 E 32nd St Ste 101, Joplin, MO 64804 Phone: 417-556-2780 Fax: 417-556-2781 | |
Dr. Noureddine El Moghrabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 |