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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 101370 | MISSOURI | No |
| 2 | 207RR0500X | Internal Medicine | Rheumatology | R3B59 | MISSOURI | No |
| 3 | 207RR0500X | Internal Medicine | Rheumatology | 114482 | MISSOURI | No |
| 4 | 207V00000X | Obstetrics & Gynecology | | 105928 | MISSOURI | No |
| 5 | 207V00000X | Obstetrics & Gynecology | | 106158 | MISSOURI | No |
| 6 | 2084N0400X | Psychiatry & Neurology | Neurology | 100303 | MISSOURI | No |
| 7 | 363LF0000X | Nurse Practitioner | Family | F0497088 | MISSOURI | No |
| 8 | 261QR1300X | Clinic/Center | Rural Health | 268648 | MISSOURI | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1689717456 | OTHER | MISSOURI | THOMAS A HOPKINS MD |
| 2 | 1710063078 | MEDICAID | MISSOURI | |
| 3 | 1710063078 | OTHER | MISSOURI | JOHN E ALDEN DO |
| 4 | 268648 | OTHER | MISSOURI | RURAL HEALTH CLINIC PROVIDER NUMBER |
| 5 | E69067 | MEDICARE UPIN | MISSOURI | |
| 6 | 1083614291 | MEDICARE PIN | MISSOURI | |
| 7 | 1194051433 | OTHER | | TIFFANY HUFFMAN FNP |
| 8 | 1235169723 | OTHER | MISSOURI | JOSEPH F WILSON, DO |
| 9 | E97484 | MEDICARE UPIN | MISSOURI | |
| 10 | 1083614291 | MEDICAID | MISSOURI | |
| 11 | 1295767986 | MEDICARE PIN | MISSOURI | |
| 12 | 1194051433 | OTHER | | NPI |
| 13 | 1669416046 | OTHER | | ANTHONY T TAY MD |
| 14 | 1972546802 | OTHER | MISSOURI | RICHARD G KENNEY DO |
| 15 | 1275730160 | MEDICAID | MISSOURI | |
| 16 | 000050010 | MEDICARE PIN | MISSOURI | |
| 17 | 1154520757 | MEDICARE PIN | MISSOURI | |
| 18 | 1235169723 | MEDICARE PIN | MISSOURI | |
| 19 | 1174555957 | MEDICARE PIN | MISSOURI | |
| 20 | 1013955541 | OTHER | MISSOURI | MARK JAREK MD |
| 21 | 1235169723 | MEDICAID | MISSOURI | |
| 22 | 6601360001 | MEDICARE NSC | MISSOURI | |
| 23 | 1871532283 | MEDICARE PIN | MISSOURI | |
| 24 | 1083614291 | OTHER | MISSOURI | DAVID E BROWN, DO |
| 25 | 1407959760 | OTHER | MISSOURI | BRETT E BOICE DO |
| 26 | 1538182639 | OTHER | | JUSTIN S OGDEN MD |
| 27 | A25614 | MEDICARE UPIN | MISSOURI | |
| 28 | S39488 | MEDICARE UPIN | MISSOURI | |
| 29 | 6601360001 | OTHER | MISSOURI | DMEPOS |
| 30 | 1275730160 | MEDICARE PIN | MISSOURI | |
| 31 | 1013010370 | OTHER | MISSOURI | MICHELLE A BOICE MD |
| 32 | 1174555957 | OTHER | | LARRY K MIDYETT |
| 33 | 1184660995 | OTHER | | CHRISTOPHER R ANDREWS MD |
| 34 | 1710063078 | MEDICARE PIN | MISSOURI | |
