MATTHEW C LUNDIEN (NPI# 1053364281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053364281 |
| Entity Type | Individual |
| Full Name | MATTHEW C LUNDIEN |
| Credential | MD |
| Practice Address |
1965 S Fremont Ave Ste 220 Springfield MO 65804-2201 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178209055 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
2013017410 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 198935001 | 05 | |
| MO | 1053364281 | 05 | |
| MO | RR MCR | P01208067 | 01 |
| OK | 200499740 A | 05 | |
| KS | 201077460A | 05 | |
| MO | TRICARE | 431560263 | 01 |
| Street Address |
1965 S FREMONT AVE STE 220 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834074 | Tyrun Keith Richardson | Urology | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2005-07-14 |
| 1366934069 | Kelsi Brooke Yates | Registered Nurse | 1965 S Fremont Ave, Springfield, MO 65804 | 2018-05-30 |
| 1629515440 | Ashley Jenkins | Physician Assistant | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2017-01-31 |
| 1538602719 | Brianna Sikes | Registered Nurse | 1965 S Fremont Ave, Suite 230, Springfield, MO 65804-2201 | 2016-11-21 |
| 1497105779 | Krista Norrick | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-16 |
| 1952750846 | Lori Pumphrey | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-10 |
| 1306205414 | Jason Hall | Physician Assistant | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-02-17 |
| 1811382500 | Megan A. Martin | Nurse Practitioner | 1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201 | 2015-03-31 |
| 1588055578 | Inna L. Bates | Nurse Practitioner | 1965 S Fremont Ave, Suite 350, Springfield, MO 65804-2201 | 2015-02-11 |
| 1770990228 | Karina Marie Guffey | Nurse Practitioner | 1965 S Fremont Ave, Springfield, MO 65804-2201 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 2080P0214X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Pulmonology |
| A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184817926 | Asha Thomas | Pediatrics | 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 | 2007-08-24 |
| 1114914363 | Paul S Salva | Pediatrics | 781 Chestnut St, Suite 11, Springfield, MA 01107-1623 | 2005-10-03 |
| 1265778831 | Esra Caylan | Pediatrics | 50 Wason Ave Fl 1, Springfield, MA 01107-1274 | 2012-12-29 |
| 1487809448 | Anwar Shafi | Pediatrics | 301 N 8th St, Suite Pav4a, Springfield, IL 62701-1041 | 2008-11-18 |
| 1437352952 | Nico W Vehse | Pediatrics | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2007-06-11 |
| 1689745903 | William A Spohn | Pediatrics | 651 S Limestone St, Springfield, OH 45505-1965 | 2006-11-10 |
| 1225129430 | Francis J. Duda | Pediatrics | 50 Wason Ave, 1st Floor, Springfield, MA 01199-1002 | 2006-09-27 |
| 1386665412 | Pediatric Pulmonology of Western New England, P.C. | Pediatrics | 780 Chestnut St, Ste. 11, Springfield, MA 01107-1610 | 2006-07-22 |
| 1205811775 | Mark R Johnson | Pediatrics | 301 N 8th St, Springfield, IL 62701-1041 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386604965 | Katherine L Madson | Pediatrics | 2001 S. Lindbergh Boulevard, Research Center, Shriners Hospital for Children, St. Louis, St. Louis, MO 63131 | 2006-03-27 |
| 1831739846 | Athanasios G Kaditis | Pediatrics | 404 N Keene St Ste 101, Columbia, MO 65201-6626 | 2020-01-08 |
| 1437491867 | Jenny Coster | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2013-03-24 |
| 1336440593 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2010-11-04 |
| 1275845059 | Jade B. Tam-williams | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2010-07-08 |
| 1699003590 | Alvin Vishwanauth Singh | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-12-03 |
| 1710116629 | Zarmina Ehsan | Pediatrics | 2401 Gillham Rd, Pulmonology Section, Kansas City, MO 64108-4619 | 2009-07-13 |
| 1659531846 | Hugo Escobar | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-06-11 |
| 1922298363 | Wendy Lyn Claricia Estrellado | Pediatrics | 2401 Gillham Rd, Rm 3503, Kansas City, MO 64108-4619 | 2007-08-01 |
| 1194944892 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-24 |
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| City | SPRINGFIELD |
| Zip Code | 65804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.