St. John's Medical Group

NPI #1255388039 in Pittsburg, Kansas

Provider Information

NPI Number: 1255388039
Entity Type: Organization
Organization Name: St. John's Medical Group
Primary Specialty: Family Medicine
Enumeration Date: May 27, 2006
Last Updated: Sep 2, 2009

Practice Location

Address: 2711 S ROUSE ST
Address 2: SUITE C
City: Pittsburg
State: Kansas
ZIP Code: 66762-6620
Phone: (417) 627-8967

Authorized Official

Name: ROBIN SUMNER
Title: REVENUE CYCLE DIRECTOR
Phone: (417) 627-8930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Obstetrics & Gynecology	207V00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Surgery	208600000X
Family Medicine	207Q00000X	Primary

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