Northwest Missouri State University
NPI 1225310204 · Family Medicine Physician · Maryville, MO
Northwest Missouri State University is a Family Medicine Physician organization in Maryville, MO (NPI 1225310204).
Provider details
- NPI number
- 1225310204
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Cannella, Head Athletic Trainer(660) 562-1313
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Northwest Missouri State
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2022-02-21
- Certified
- 2022-02-21
Frequently asked questions
- What is Northwest Missouri State University's NPI number?
- Northwest Missouri State University's National Provider Identifier (NPI) is 1225310204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Missouri State University?
- Northwest Missouri State University is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northwest Missouri State University located?
- Northwest Missouri State University's practice location on file with NPPES is 800 University Drive, Maryville, MO 64468.
- What is Northwest Missouri State University's phone number?
- The practice phone number listed in the NPPES registry for Northwest Missouri State University is (660) 562-1313.
- Who is the authorized official for Northwest Missouri State University?
- The authorized official listed on Northwest Missouri State University's NPPES record is Matthew Cannella, Head Athletic Trainer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Missouri State University's NPI active?
- Yes — Northwest Missouri State University's NPI (1225310204) is active in the NPPES registry as of the last update on 2022-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.