CLARENCE W. JAGGARD, JR. MD – NPI #1932602125
Family Medicine

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.

CLARENCE JAGGARD, JR. is a physician located in OZARK, MO. NPPES has assigned the NPI number 1932602125 to CLARENCE JAGGARD, JR. on March 14, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. 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 CLARENCE JAGGARD, JR. below.

NPI Profile for
CLARENCE W. JAGGARD, JR.

NPI Number
1932602125
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CLARENCE W. JAGGARD, JR.
Credentials
MD
Primary location
OZARK VALLEY MEDICAL CLINIC 5571 N. 21ST ST.
OZARK, MO 65721
Phone: (417) 317-5330 Fax: (417) 763-3370
1 Other location(s):
Lift Up Springfield 2005 E. Kearney St. Suite A
Springfield, MO 65803
Phone: 0000000000
Mailing address
5571 NORTH 21ST ST.
OZARK, MO 65721
Phone: (417) 317-5330 Fax: (417) 763-3370
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for CLARENCE JAGGARD, JR.

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
OTHERASSISTANT PHYSICIAN LICENSEMO2017039470
OTHERDRIVERS LICENSE NUMBERVAT61723021
OTHERPHARMACY LICENSEVA0202204519
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
207Q00000X
- Family Medicine (Primary)
MO 2017039470

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.