TROY L. SPILDE (NPI# 1871766493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871766493 |
| Entity Type | Individual |
| Full Name | TROY L. SPILDE |
| Credential | M.D. |
| Practice Address |
400 N 9th St Springfield IL 62702-5310 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175450400 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
036-150920 | IL | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
115156 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 176758001 | 05 | |
| MO | RR MEDICARE # | PENDING | 01 |
| MO | 204661607 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1229 E Seminole St, Springfield, MO 658042227 | 4178205610 | 4178205589 |
| Street Address |
400 N 9TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063484814 | Norman Y Otsuka | Orthopaedic Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2006-02-06 |
| 1215551320 | Jennifer Inness | Social Worker | 400 N 9th St, Springfield, IL 62702-5310 | 2020-06-04 |
| 1588287841 | Laila Mahmoud Hashim | Pediatrics | 400 N 9th St, Springfield, IL 62702-5310 | 2020-05-21 |
| 1710527908 | Sydney J Sullivan | Nurse Practitioner | 400 N 9th St, Springfield, IL 62702-5310 | 2020-01-15 |
| 1669997383 | Trisha Schulte | Occupational Therapist | 400 N 9th St, Springfield, IL 62702-5310 | 2017-08-03 |
| 1376920645 | Jennifer Davis | Dietitian, Registered | 400 N 9th St, Springfield, IL 62769-1000 | 2015-05-06 |
| 1164831186 | Eshan Michael Samuel | Pediatrics | 400 N 9th St, Springfield, IL 62702-5310 | 2014-08-04 |
| 1447686415 | Lamya Mubayed | Pediatrics | 400 N 9th St, Springfield, IL 62702-5310 | 2013-09-22 |
| 1336395904 | Carlos F Sanchez -glanville | Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2008-08-14 |
| 1114034352 | Ahmed G. Mami | Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194868653 | Richard A Courtney | Surgery | 125 Liberty St, Springfield, MA 01103-1114 | 2007-02-15 |
| 1558404012 | Stanley H Konefal | Surgery | 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 | 2007-02-15 |
| 1306992987 | Gregory T Banever | Surgery | 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 | 2007-01-26 |
| 1841395225 | David B Tashjian | Surgery | 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 | 2006-09-13 |
| 1114034352 | Ahmed G. Mami | Surgery | 400 N 9th St, Springfield, IL 62702-5310 | 2006-08-24 |
| 1598774630 | Kevin Patrick Moriarty | Surgery | 100 Wason Ave, Ste 220, Springfield, MA 01107-1381 | 2006-08-07 |
| 1518972025 | Garret Seth Zallen | Surgery | 3377 Riverbend Dr, Pediatric Surgery, Springfield, OR 97477-8803 | 2006-07-31 |
| 1194752337 | Michael V Tirabassi | Surgery | 100 Wason Ave, Suite 220, Springfield, MA 01107-1381 | 2006-06-26 |
| 1184610255 | Ruth D Mayforth | Surgery | 301 N 8th St, Pav4a, Springfield, IL 62701-1041 | 2005-09-23 |
| 1164422622 | Kimberly Anne Molik | Surgery | 800 E Carpenter St, Springfield, IL 62702-5324 | 2005-07-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on TROY L. SPILDE.
| 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.