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St Johns Regional Medical Center

Family Medicine Physician in Joplin, MO · enumerated 2006 · authorized official Walter Dandridge, Interim Chief Medical Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093802811

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Registry record

Entity type Organization (Type 2)
Legal business name St Johns Regional Medical Center
Practice address 2727 Mcclelland Blvd, Joplin, MO, 64804
Fax (417) 625-2910
Enumeration date Oct 5, 2006
Last updated in NPPES Jun 16, 2009

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Walter Dandridge
Title Interim Chief Medical Officer

Other identifiers

Identifier Type State Issuer
000260001001 Other OK BLUE CROSS OF OKLAHOMA
100000880C Other - KANSAS MEDICAID
200900 Other MD BLACK LUNG
540564507 Medicaid MO -
100693700B Other - OKLAHOMA MEDICAID
101PD001 Other MO MO BLUE CROSS
007750 Other KS FAMILY HEALTH PARTNERS
440548809 Other MO RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is St Johns Regional Medical Center?
St Johns Regional Medical Center is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-16.