DR. ROBERT L. ELWORTH (NPI# 1134239056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134239056 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L. ELWORTH |
| Credential | M.D. |
| Practice Address |
1423 N Jefferson Ave Springfield MO 65802-1917 |
| Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
| Practice Telephone | 4172692273 |
| Practice Fax Number | 4172698851 |
| Mailing Telephone | 4172695712 |
| Mailing Fax Number | 4172697567 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
R4D87 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE | 100276 | 01 | |
| MO | 202079133 | 05 |
| Street Address |
1423 N JEFFERSON AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004605 | Laird E. Jones | Psychiatry & Neurology | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2005-06-27 |
| 1396367264 | Brandon Allen Lane | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2020-05-13 |
| 1881215119 | Brenda Lea Stevens-ricci | Occupational Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1988 | 2020-04-28 |
| 1386263861 | Matthew A Murphy | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1988 | 2020-04-14 |
| 1790304277 | Phillip Wayne Goble | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2020-04-14 |
| 1568017150 | Sara Perry | Speech-Language Pathologist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2019-08-09 |
| 1790330074 | Journey Mccarty | Pharmacist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2019-08-05 |
| 1184180374 | Andrea James | Physician Assistant | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2019-02-13 |
| 1376036954 | Rebekah Elizabeth Pierce | Nurse Practitioner | 1423 N Jefferson Ave, Springfield, MO 65802-1988 | 2018-06-08 |
| 1477043263 | Christy Deann Laye | Nurse Practitioner | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1568945103 | Ficom | Non-Pharmacy Dispensing Site | 1308 North Glenstone Avenue, Springfield, MO 65802 | 2018-09-10 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| Find all providers in zip 65802 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508765 | Pw-hospital Bridge Services, LLC | Family Medicine | 801 Hill St Ste A, Springfield, TN 37172-2951 | 2020-08-13 |
| 1639656986 | Impact Healthcare Pllc | Family Medicine | 801 Hill St, Springfield, TN 37172-2951 | 2018-07-19 |
| 1558500462 | Mercy Specialist Physicians Inc | Family Medicine | 300 Carew St, Suite 1, Springfield, MA 01104 | 2009-02-17 |
| 1336363217 | Springfield International Health Center | Family Medicine | 760 Chestnut St, Springfield, MA 01107-1614 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558857086 | Hcm Group, LLC | Family Medicine | 36 Doctors Park Ste 2, Cape Girardeau, MO 63703-4904 | 2018-07-09 |
| 1114498698 | St. Kolbe-puckett Center for Healing Inc | Family Medicine | 210 N 7th St, Saint Joseph, MO 64501-1906 | 2018-12-10 |
| 1306395645 | Rosenblatt Clinic LLC | Family Medicine | 4621 S Shrank Dr, Suite B, Independence, MO 64055-5453 | 2016-09-28 |
| 1508077090 | Kevin Robert Clark | Family Medicine | 3211 Woodland Ave, Kansas City, MO 64109-2073 | 2007-05-25 |
| City | SPRINGFIELD |
| Zip Code | 65802 |
Please comment or provide details below to improve the information on DR. ROBERT L. ELWORTH.
| 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.