Provider Demographics
NPI:1538198452
Name:KARGES, MELVIN DEAN (MD)
Entity type:Individual
Prefix:MR
First Name:MELVIN
Middle Name:DEAN
Last Name:KARGES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 E 34TH ST
Mailing Address - Street 2:STE 100
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804
Mailing Address - Country:US
Mailing Address - Phone:417-782-1700
Mailing Address - Fax:417-782-1747
Practice Address - Street 1:702 E 34TH ST
Practice Address - Street 2:STE 100
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804
Practice Address - Country:US
Practice Address - Phone:417-782-1700
Practice Address - Fax:417-782-1747
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR2H11208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100274270AMedicaid
MO202153938Medicaid
MO195869OtherBC BLUE SHIELD
C50580Medicare UPIN
MO202153938Medicaid