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

Jack Tyrone Adcock, DO

Individual provider Gynecology Physician · NPI 1669487054

Jack Tyrone Adcock, DO is a Gynecology Physician in Joplin, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3401 McIntosh Cir Ste 200
Joplin, MO 64804-3604
Phone: (417) 347-3703
Fax: (417) 347-3727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 2001025553 (MO)

Record details

NPI number1669487054
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024
Mailing addressPo Box 3810, Joplin, MO 64803-3810

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