| Joplin Primary Care Inc | |
|
3130 Wisconsin Ave Ste 4 Joplin MO 64804-2873 | |
| (417) 206-4300 | |
| (417) 206-9306 |
| Full Name | Joplin Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3130 Wisconsin Ave, Joplin, Missouri |
| Authorized Official Name and Position | Sean C Pfeffer (MD) |
| Authorized Official Contact | 4172064300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joplin Primary Care Inc Po Box 2009 Joplin MO 64803-2009 Ph: (417) 206-4300 | Joplin Primary Care Inc 3130 Wisconsin Ave Ste 4 Joplin MO 64804-2873 Ph: (417) 206-4300 |
| NPI Number | 1326379710 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 9638207764 |
|---|---|
| Medicare Enrollment ID | O20100512000084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326379710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2003026619 (Missouri) | Primary |
| Provider Name | Sean C Pfeffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487690913 PECOS PAC ID: 1153228903 Enrollment ID: I20040323000283 |
| Provider Name | Molly K Shifferd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891995759 PECOS PAC ID: 3971695719 Enrollment ID: I20070823000810 |
| Provider Name | Reilly Allmoslecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427610377 PECOS PAC ID: 9638406887 Enrollment ID: I20190809001698 |
| Provider Name | Abby L Zeb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871102541 PECOS PAC ID: 2365846045 Enrollment ID: I20210803000354 |
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