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JOHN VAN EARNHART M.D. NPI 1043218084


NPI Information

NPI: 1043218084
Provider Name: JOHN VAN EARNHART, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: REGIONAL PRIMARY CARE INC.

PECOS Registration: Yes

Address:
150 S MOUNT AUBURN RD
SUITE 418
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 332-6000
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John Van Earnhart, M.D. is a family medicine in Cape Girardeau, MO with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. John Van Earnhart, M.D. NPI is 1043218084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1999

The provider's business location address is:

150 S MOUNT AUBURN RD
SUITE 418
CAPE GIRARDEAU, MO
ZIP 63703-911
Phone: (573) 332-6000

The NPI 1043218084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 1/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036-106126ILLINOISNo
2207Q00000XFamily Medicine2013002771MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1473444OTHERILLINOISHEALTHLINK
2H67921OTHERILLINOISCHAMPVA
31043218084MEDICAIDMISSOURI
4122830001MEDICARE PINMISSOURI
5036106126OTHERILLINOISIDPA FEE FOR SERVICE
6H67921OTHERILLINOISTRICARE
7L92883MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
8076839OTHERILLINOISHEALTH ALLIANCE
9H67921OTHERILLINOISUNITED HEALTHCARE RR MEDI
10H67921OTHERILLINOISBLUE CROSS BLUE SHIELD
11H67921MEDICARE UPIN
12036-106126MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.