MEDICARE: DR. JAMES KEITH HUNTER JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R2A41	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	940868	OTHER	MO	FIRST HEALTH
2	940868	OTHER	MO	CENTRAL RESERVE LIFE
3	1378074	OTHER	MO	UNITED HEALTH CARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	08481-016	OTHER	MO	BLUE CROSS BLUE SHIELD
7	10001183400	OTHER	MO	COMMUNITY HEALTH PLAN
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568462521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES KEITH HUNTER JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4046
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65808-4046
Country	:	US
Telephone Number	:	417-269-2215
Fax Number	:	417-269-2427

Provider Business Practice Location Address
First Line	:	1741 S 15TH ST
Second Line	:
City	:	OZARK
State	:	MO
Zip	:	65721-9030
Country	:	US
Telephone Number	:	417-269-2215
Fax Number	:	417-269-2427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	02/01/2013

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