AMANDA W. DETAR DO – NPI #1396944294
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

AMANDA DETAR is a physician located in JOPLIN, MO. NPPES has assigned the NPI number 1396944294 to AMANDA DETAR on July 12, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name AMANDA WYATT PEARCE. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 3 years ago on Jul 20, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA DETAR below.

NPI Profile for
AMANDA W. DETAR

NPI Number
1396944294
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA W. DETAR
Former Name: AMANDA WYATT PEARCE
Credentials
DO
Primary location
1130 E 32ND ST
JOPLIN, MO 64804-4034
Phone: (417) 347-2273 Fax: (417) 347-2277
1 Other location(s):
100 Hospital Dr
Lebanon, MO 65536-9210
Phone: (417) 533-6100
Mailing address
PO BOX 3810
JOPLIN, MO 64803-3810
Phone: (417) 347-4662 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 20, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AMANDA DETAR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO1396944294
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 MO 2008030163

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
desktop
Endpoint type
CONNECT URL
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
3799 RIDGEDALE RD,
RIDGEDALE, MO 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AMANDA DETAR is affiliated with the following medical group(s):
  • HOSPITAL
    • COX MEDICAL CENTER BRANSON
      525 BRANSON LANDING BLVD, PO BOX 650
      BRANSON, MO 65615
    • MERCY HOSPITAL CARTHAGE
      3125 DR RUSSELL SMITH WAY
      CARTHAGE, MO 64836
    • NORTH ARKANSAS REGIONAL MEDICAL CENTER
      620 NORTH MAIN STREET
      HARRISON, AR 72601
    • TEXAS COUNTY MEMORIAL HOSPITAL
      1333 SAM HOUSTON BOULEVARD
      HOUSTON, MO 65483

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.