Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ethan Reznicek, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174059661

Ethan Reznicek, MD is an Emergency Medicine in Joplin, Missouri. Qualified in 2017, 9 years ago. Practices with Green Country Emergency Physicians Group of Tulsa, PLLC, a 109-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Mercy Way Ste 1400
Joplin, MO 64804-4524
Phone: (417) 556-2300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6410 Fannin St, Houston, TX 77030-3000 — (832) 325-7125

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2021037224 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174059661
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021
Mailing address100 Mercy Way Ste 1400, Joplin, MO 64804-4524

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Green Country Emergency Physicians Group Of Tulsa, Pllc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Joplin