Taxonomy Code 305S00000X(305s00000x)
Point of Service. Providers: 1

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Point of Service Providers

NPI Name Type Address

1861706434

Level 4 Medical Professional Corporation

Organization

913 South St

Stockton, MO

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 305S00000X
Display Name Point of Service
Taxonomy Group Managed Care Organizations
Taxonomy Classification Point of Service
Definition This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Effective Date September 30, 2009
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Other Taxonomy Codes

Diagnostic Radiology Physician

2085R0202X • providers: 49,492

Registered Dietitian

133V00000X • providers: 54,129

Pediatric Otolaryngology Physician

207YP0228X • providers: 697

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Prevention Professional

405300000X • providers: 564

Otolaryngology/Facial Plastic Surgery Physician

207YX0905X • providers: 1,178

Vascular Neurology Physician

2084V0102X • providers: 610

Acute Care Clinical Nurse Specialist

364SA2100X • providers: 408

Student Health Clinic/Center

261QS1000X • providers: 1,206

Pediatric Dermatology Physician

207NP0225X • providers: 220

Geriatric Psychiatry Physician

2084P0805X • providers: 1,034

Mental Health Occupational Therapist

225XM0800X • providers: 359

Surgical Physician Assistant

363AS0400X • providers: 16,971

Wound Care Registered Nurse

163WW0000X • providers: 373

Single Specialty Group

193400000X • providers: 28

Bone Densitometry Radiologic Technologist

2471B0102X • providers: 46

Assistive Technology Practitioner Rehabilitation Counselor

225CA2400X • providers: 92

Neurocritical Care Physician

2084A2900X • providers: 371

Community/Retail Pharmacy

3336C0003X • providers: 58,663

Pain Medicine (Psychiatry & Neurology) Physician

2084P2900X • providers: 247