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Active NPI 1881666865 Individual Practitioner Male Practitioner

Dr. James R Ennis , DO

General Practice • Holts Summit, MO

Professional Overview & Biography Verified Profile Summary

Dr. James Ennis, DO is a registered healthcare professional specializing in General Practice in Holts Summit, MO. Practice services are available at 180 NORTHSTAR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

180 Northstar

Holts Summit, MO 65043

Telephone 5738965115
Fax 5738964272
Associated Practice Facility / Clinic
🏢 Capital Region Medical Center Facility NPI 1710959598

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Holts Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Holts Summit, MO (221 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO R6639

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
240009803 (MO)
Medicaid State Provider ID
501607808 (MO)
Commercial Insurance / Payer ID First Health
813149
Commercial Insurance / Payer ID Healthlink
104257
Commercial Insurance / Payer ID Blue Cross Blue Shield
100491
Commercial Insurance / Payer ID Cigna
7779636

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1841552700

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2012

Registered at 180 NORTHSTAR, HOLTS SUMMIT, MO 65043 (Tel: 5738965115)

📍
Updated Business Mailing Address July 19, 2012

Registered at 180 NORTHSTAR, CAPITAL REGION MEDICAL CLINIC, HOLTS SUMMIT, MO 65043 (Tel: 5738965115)

👤
Provider Name / Credentials Updated July 19, 2012

Recorded as JAMES ENNIS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2012

General Practice (License #R6639 in MO)

🟢
Initial NPI Registration & Enumeration February 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1881666865
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2006
Last Update: July 19, 2012
Sole Proprietor: No
Update or Correct Profile

Mailing Address

180 Northstar, Capital Region Medical Clinic

Holts Summit, MO 65043

Phone: 5738965115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.