JACK T. ADCOCK DO – NPI #1669487054
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

JACK ADCOCK is a physician located in JOPLIN, MO. NPPES has assigned the NPI number 1669487054 to JACK ADCOCK on July 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 2 years ago on Mar 18, 2024. 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 JACK ADCOCK below.

NPI Profile for
JACK T. ADCOCK

NPI Number
1669487054
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK T. ADCOCK
Credentials
DO
Primary location
3401 MCINTOSH CIR STE 200
JOPLIN, MO 64804-3604
Phone: (417) 347-3703 Fax: (417) 347-3727
Mailing address
PO BOX 3810
JOPLIN, MO 64803-3810
Phone: (417) 347-4662 Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 18, 2024

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 JACK ADCOCK

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
medicaidMO245800602
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
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
MO 2001025553

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.

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
JACK ADCOCK is affiliated with the following medical group(s):
  • HOSPITAL
    • FREEMAN HEALTH SYSTEM - FREEMAN WEST
      1102 WEST 32ND STREET
      JOPLIN, MO 64804
    • FREEMAN NEOSHO HOSPITAL
      113 WEST HICKORY STREET
      NEOSHO, MO 64850
    • MERCY HOSPITAL JOPLIN
      100 MERCY WAY
      JOPLIN, MO 64804

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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.