DR. CHARLES C MAULDIN JR. (NPI# 1194718270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194718270 |
| Entity Type | Individual |
| Full Name | DR. CHARLES C MAULDIN JR. |
| Credential | M.D. |
| Practice Address |
1308 N Glenstone Ave Springfield MO 65802-2130 |
| Mailing Address |
5015 S Glenhaven Ave Springfield MO 65804-7800 |
| Practice Telephone | 4178644100 |
| Practice Fax Number | 4178638697 |
| Mailing Telephone | 4178817808 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | MDR6J28 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 202697900 | 05 | |
| MO | US POSTAL SERVICE | ACS#140740000 | 01 |
| MO | BLUE CROSS/BLUE SHIELD | 19288 | 01 |
| MO | FIRST HEALTH | 2079425 | 01 |
| MO | TRIWEST | 43151887165802A005 | 01 |
| MO | CLIA | 26D1025378 | 01 |
| MO | PHCS | 9378408 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942314158 | Charles L Mauldin | Pharmacist | 709 Ww Ray Cir, Bridgeport, TX 76426-5023 | 2006-08-18 |
| Street Address |
1308 N GLENSTONE AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560640 | Casey R Parrish | Nurse Practitioner | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2020-08-27 |
| 1982229381 | Taylour Paige Emery | Nurse Practitioner | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2020-06-11 |
| 1649784844 | Angela Stevens | Registered Nurse | 1308 N Glenstone Ave, Springfield, MO 65802 | 2017-11-27 |
| 1487001517 | Ficom Inc. | Clinic/Center | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2016-05-18 |
| 1528490398 | D. Susie Robertson | Nurse Practitioner | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2013-08-05 |
| 1184971863 | Chelsea D Straub | Physical Therapist | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2012-08-13 |
| 1063663144 | Kayla Renee Brown | Occupational Therapy Assistant | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2008-10-07 |
| 1972653996 | Apolinario A Ancheta | Rehabilitation Practitioner | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2007-01-11 |
| 1619053287 | Gilbert Louis Mobley | Clinic/Center | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2006-10-27 |
| 1225021231 | Springfield Physical Medicine and Rehabilitation, Inc | Clinic/Center | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2005-08-24 |
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1386887453 | Michael G. Ryan | Physical Medicine & Rehabilitation | 1335 E Republic Rd, Suite D, Springfield, MO 65804-7204 | 2009-04-19 |
| 1255478970 | Thomas B. Corsolini | Physical Medicine & Rehabilitation | 3520 S Culpepper Circle Ste. D, Springfield, MO 65804 | 2007-01-31 |
| 1790857068 | Martin F Bertram | Physical Medicine & Rehabilitation | 4960 Middle Urbana Rd, Springfield, OH 45503 | 2006-11-14 |
| 1518038314 | Randal S Richardson | Physical Medicine & Rehabilitation | 4230 E. National Road (rear), Springfield, OH 45505-1714 | 2006-11-13 |
| 1720028327 | Patrick Murphy | Physical Medicine & Rehabilitation | 57 S State Rd, Springfield, PA 19064-1638 | 2006-06-08 |
| 1336125665 | Howard C Lederman | Physical Medicine & Rehabilitation | 233 Carew St, Springfield, MA 01104-2377 | 2005-12-19 |
| 1720087463 | Carl Douglas Porter | Physical Medicine & Rehabilitation | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2005-07-15 |
| 1265439343 | Phuong Xuan Mai | Physical Medicine & Rehabilitation | 6620 Keene Dr, Springfield, VA 22152-2508 | 2005-07-05 |
| 1902801269 | Lawrence Henry Field | Physical Medicine & Rehabilitation | 780 Chestnut St, Ste 22, Springfield, MA 01107-1610 | 2005-06-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
Please comment or provide details below to improve the information on DR. CHARLES C MAULDIN JR..
| 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.