Healthcare Provider Details

I. General information

NPI: 1144713082
Provider Name (Legal Business Name): JOSEPH CHERRI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2018
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MEDICAL PARK DR
MEXICO MO
65265-3724
US

IV. Provider business mailing address

600 MEDICAL PARK DR
MEXICO MO
65265-3724
US

V. Phone/Fax

Practice location:
  • Phone: 573-581-8500
  • Fax: 573-581-5397
Mailing address:
  • Phone: 573-581-8500
  • Fax: 573-581-5397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025038598
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: