St Joseph Specialty Clinic PC
St Joseph Specialty Clinic PC is a healthcare organization registered as Surgery Physician in Bethany, MO, holding Type 2 (organization) NPI 1962424895 since 2006. The authorized official on file is Kenneth Shewell, Secretary.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962424895 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | St Joseph Specialty Clinic PC |
| Other name | <Unavail> |
| Practice address | 2600 MILLER ST, Bethany, MO, 64424 |
| Phone | 6604250253 |
| Enumeration date | 2006-07-23 |
| Last updated in NPPES | 2023-01-04 |
Authorized official
| Name | Kenneth Shewell |
|---|---|
| Title | Secretary |
| Phone | 8168665105 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 112862 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208865105 | Medicaid | MO | — |
Copy-ready billing details
Provider: St Joseph Specialty Clinic PC NPI: 1962424895 Taxonomy: 208600000X (Surgery Physician) Address: 2600 MILLER ST, Bethany, MO, 64424
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528062569 | Harrison County Community Hospital District | Organization | Critical Access Hospital | Bethany, MO |
| 1912982075 | Bret Heileson | Individual | Family Medicine Physician | Bethany, MO |
| 1700854023 | Kenneth Shewell | Individual | Surgery Physician | Bethany, MO |
| 1265512917 | Harrison County Community Hospital District | Organization | Medicare Defined Swing Bed Hospital Unit | Bethany, MO |
| 1467533208 | Kimberly Strain | Individual | Pharmacy Technician | Bethany, MO |
| 1578641569 | Laura Lane | Individual | Clinical Social Worker | Bethany, MO |
| 1679636385 | Truman Vasko | Individual | Surgery Physician | Bethany, MO |
| 1962548339 | Greg Terwilleger | Individual | Occupational Therapist | Bethany, MO |
Verify this record
Cross-check NPI 1962424895 against the authoritative CMS record: view St Joseph Specialty Clinic PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is St Joseph Specialty Clinic PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-01-04.