MR. TYLER WRIGHT LANDGRAF (NPI# 1639399611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639399611 |
| Entity Type | Individual |
| Full Name | MR. TYLER WRIGHT LANDGRAF |
| Credential | MSED, ATC |
| Practice Address |
901 S National Ave Forsythe Rm 109 Springfield MO 65897-0027 |
| Practice Telephone | 4175768009 |
| Mailing Telephone | 4175768009 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2009009431 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
901 S NATIONAL AVE FORSYTHE RM 109 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65897-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291747 | Ivan Eugene Milton | Specialist/Technologist | 901 S National Ave, Springfield, MO 65804-0027 | 2005-08-02 |
| 1285245613 | Bailee Nicole Mcafee | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-08-10 |
| 1942828256 | Abigail Bjerken | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-07-13 |
| 1316561152 | Alexandra Marie Woody | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2020-06-07 |
| 1003436585 | Makenzie Lynn Abbott | Physician Assistant | 901 S National Ave, Springfield, MO 65897-0027 | 2020-04-24 |
| 1720610256 | Jill Ashley Trotman | Dietitian, Registered | 901 S National Ave, Springfield, MO 65897-0027 | 2020-02-12 |
| 1487213898 | Amanda Marie Bouchey I | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0001 | 2019-06-10 |
| 1114586567 | Malik Riley | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-06-10 |
| 1083273445 | Kelli Michele Jones | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-06-10 |
| 1417412883 | Madison Marie Cronin-burroughs | Specialist/Technologist | 901 S National Ave, Springfield, MO 65897-0027 | 2019-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1134743073 | Jared Saylor | Student in an Organized Health Care Education/Training Program | 901 S National Ave, Prof 160, Springfield, MO 65897 | 2020-06-06 |
| 1215597208 | Jangsoo Kim | Student in an Organized Health Care Education/Training Program | 901 S National Ave., Springfield, MO 65897 | 2019-06-20 |
| 1104912542 | Filip John Garrett | Family Medicine | 901 S Nationa Ave, Springfield, MO 65897 | 2006-10-05 |
| 1043306483 | Lawrence Sylvester Shields | Family Medicine | 901 South National Ave, Springfield, MO 65897 | 2006-10-05 |
| 1750469102 | Susan Wilson Essman | Family Medicine | 901 South National Avenue, Springfield, MO 65897 | 2006-11-02 |
| 1073600334 | Missouri State University | Psychologist | 715 S Florence, Springfield, MO 65897 | 2006-10-06 |
| 1033763271 | Ariana Nicole Hetland-purna | Specialist/Technologist | 1045 Grand St (art Annex Building), Springfield, MO 65897-0001 | 2019-07-25 |
| 1508321092 | Jacob Hawkins | Specialist/Technologist | 901 S National Prof 160 Department of Sports Medicine, Springfield, MO 65897-0001 | 2019-02-08 |
| 1942764311 | Tameka Stennis | Specialist/Technologist | 901 South National Professional Building, Springfield, MO 65897-0001 | 2019-01-29 |
| Find all providers in zip 65897 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760627327 | Zachary C Roberts | Physical Medicine & Rehabilitation | Msu Athletic Training Services, 901 S. National Ave., Springfield, MO 65897-0001 | 2008-12-11 |
| 1073168399 | Logan Prescott | Physical Medicine & Rehabilitation | 3545 S National Ave, Springfield, MO 65807-7310 | 2019-08-04 |
| 1487134722 | Connor Parrish | Physical Medicine & Rehabilitation | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1336645860 | Rocky Marsero | Physical Medicine & Rehabilitation | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2018-04-03 |
| 1629323647 | Jason Todd Royer | Physical Medicine & Rehabilitation | 3631 S 6th St, Springfield, IL 62703-4777 | 2012-07-16 |
| 1164783619 | James Patrick Newman | Physical Medicine & Rehabilitation | 800 N 1st St, Springfield, IL 62702-3719 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166864 | Bryan Bengston | Physical Medicine & Rehabilitation | 624 Sessions Ave, Saint Louis, MO 63126-1030 | 2019-07-20 |
| 1871003301 | Southeast Missouri State University | Physical Medicine & Rehabilitation | 1 University Plz # Ms 0200, Cape Girardeau, MO 63701-4710 | 2017-10-11 |
| 1144214065 | Ravi Yadava | Physical Medicine & Rehabilitation | 675 Old Ballas Rd, Suite 210, Saint Louis, MO 63141-7083 | 2005-09-07 |
| 1154939346 | Tara Grace Porter | Physical Medicine & Rehabilitation | 1480 8th St, West Plains, MO 65775-2010 | 2020-07-14 |
| 1184258188 | Jessica Nicole Bledsoe | Physical Medicine & Rehabilitation | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 | 2020-02-27 |
| 1235649211 | Sydni Marie Kaden | Physical Medicine & Rehabilitation | 802 N Riverside Rd Ste 130, Saint Joseph, MO 64507-2508 | 2017-10-04 |
| 1184162414 | Kirstin Arnold | Physical Medicine & Rehabilitation | 3222 W 16th St, Sedalia, MO 65301-2105 | 2017-02-07 |
| 1326466590 | Chelsea Hoggard | Physical Medicine & Rehabilitation | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2014-04-03 |
| 1144519877 | Seth Marcus Oliphant | Physical Medicine & Rehabilitation | 4400 Broadway, Suite 540, Kansas City, MO 64111-3498 | 2011-04-04 |
| 1851541106 | West County Spine & Sports Medicine | Physical Medicine & Rehabilitation | 555 North New Ballas Rd, Suite 210, St. Louis, MO 63141 | 2008-09-23 |
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| City | SPRINGFIELD |
| Zip Code | 65897 |
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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.