OrganizationActive
St Joseph Specialty Clinic PC
NPI 1962424895 · Surgery Physician · Bethany, MO
St Joseph Specialty Clinic PC is a Surgery Physician organization in Bethany, MO (NPI 1962424895).
Provider details
- NPI number
- 1962424895
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kenneth Shewell, Secretary(816) 866-5105
- License
- 112862 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2600 Miller St
Bethany, MO 64424-2701
Phone: (660) 425-0253
Street-level locationGet directions
Mailing address
Po Box 8657
Saint Joseph, MO 64508-8657
Other names (DBA / former)
- Doing business as
- St Joseph Specialty Clinic PC
Registry dates
- Enumerated
- 2006-07-23
- Last updated
- 2023-01-04
- Certified
- 2023-01-04
Frequently asked questions
- What is St Joseph Specialty Clinic PC's NPI number?
- St Joseph Specialty Clinic PC's National Provider Identifier (NPI) is 1962424895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Joseph Specialty Clinic PC?
- St Joseph Specialty Clinic PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is St Joseph Specialty Clinic PC located?
- St Joseph Specialty Clinic PC's practice location on file with NPPES is 2600 Miller St, Bethany, MO 64424-2701.
- What is St Joseph Specialty Clinic PC's phone number?
- The practice phone number listed in the NPPES registry for St Joseph Specialty Clinic PC is (660) 425-0253.
- Who is the authorized official for St Joseph Specialty Clinic PC?
- The authorized official listed on St Joseph Specialty Clinic PC's NPPES record is Kenneth Shewell, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Joseph Specialty Clinic PC's NPI active?
- Yes — St Joseph Specialty Clinic PC's NPI (1962424895) is active in the NPPES registry as of the last update on 2023-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.