DR. ERICH MERTENSMEYER (NPI# 1396861498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396861498 |
| Entity Type | Individual |
| Full Name | DR. ERICH MERTENSMEYER |
| Credential | D.O. |
| Practice Address |
1229 E Seminole St Ste 520 Springfield MO 65804-2227 |
| Mailing Address |
1229 E Seminole St Springfield MO 65804-2227 |
| Practice Telephone | 4178205750 |
| Practice Fax Number | 4178205066 |
| Mailing Telephone | 4178295750 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
2003013945 | MO | Allopathic & Osteopathic Physicians |
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
2003013945 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | TRICARE | 431560263 | 01 |
| AR | 191683003 | 05 | |
| MO | RR MCR | P01036353 | 01 |
| MO | 1396861498 | 05 |
| Street Address |
1229 E SEMINOLE ST STE 520 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856263 | Gary L Mehlhorn | Ophthalmology | 1229 E Seminole St, Springfield, MO 65804-2227 | 2005-07-22 |
| 1265090138 | Charles Slagle | Nurse Practitioner | 1229 E Seminole St, Springfield, MO 65804-2227 | 2019-06-05 |
| 1750741112 | Ashley Hrabik | Physician Assistant | 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 | 2016-02-29 |
| 1184083263 | Lauren Stock | Physician Assistant | 1229 E Seminole St, Ste 520, Springfield, MO 65804-2227 | 2016-02-17 |
| 1730567728 | Nathan P. Schatz | Nurse Practitioner | 1229 E Seminole St, Suite 520, Springfield, MO 65804-2227 | 2015-05-11 |
| 1730566969 | Somer A. Norman | Nurse Practitioner | 1229 E Seminole St, Springfield, MO 65804-2227 | 2015-04-27 |
| 1700278835 | Ashley M. Bullard | Physician Assistant | 1229 E Seminole St, Suite 520, Springfield, MO 65804-2227 | 2015-02-26 |
| 1770984163 | Windsor M. Lake | Nurse Practitioner | 1229 E Seminole St, Suite 220, Springfield, MO 65804-2227 | 2014-09-04 |
| 1528409158 | Carrie L. Hartigan | Optometrist | 1229 E Seminole St, 4th Fl, Springfield, MO 65804-2227 | 2013-07-11 |
| 1073852604 | Kara D. Walker | Physician Assistant | 1229 E Seminole St, Suite 340, Springfield, MO 65804-2227 | 2013-02-01 |
| 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 | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295862365 | Xinyan Huang | Otolaryngology | 1025 S 6th St, Springfield, IL 62703-2403 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407047178 | Edment, LLC | Otolaryngology | 5780 Highway 54, Suite 113, Osage Beach, MO 65065-3043 | 2007-08-07 |
| 1194876805 | Edgar N Kemp IIi | Otolaryngology | 1605 South Baltimore, Suite B, Kirksville, MO 63501 | 2007-01-16 |
| 1336209675 | Richard Hyrum Woodland | Otolaryngology | 1602 N 2nd, Clinton, MO 64735-1192 | 2006-12-09 |
| 1629161864 | Kelly Douglas Burchett | Otolaryngology | 1605 South Baltomore, Suite B, Kirksville, MO 63501 | 2006-10-02 |
| 1023120110 | James Mead Gaunt | Otolaryngology | 1710 S Lafayette Ave, Sedalia, MO 65301-7542 | 2006-08-31 |
| 1457331324 | Kent Douglas Mcintire | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804 | 2006-01-18 |
| 1457351033 | Frank W Shagets | Otolaryngology | 620 W 32nd St, Suite B, Joplin, MO 64804-2549 | 2005-07-26 |
| 1407490105 | Ear Nose Throat Medical Service | Otolaryngology | 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 | 2019-11-05 |
| 1730539974 | Talon Maningas D.o. LLC | Otolaryngology | 620 W 32nd St Ste B, Joplin, MO 64804-2528 | 2016-06-19 |
| 1609244193 | Heather A Curtis | Otolaryngology | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2015-09-14 |
| Find all providers with the same taxonomy | ||||
| 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.