DUOCORP ENTERPRISES, LLC (NPI# 1922377274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922377274 |
| Entity Type | Organization |
| Organization Name | DUOCORP ENTERPRISES, LLC |
| Other Organization Name | INNOVATIVE SPORTS MEDICINE |
| Practice Address |
1525 E Republic Rd Suite A115 Springfield MO 65804-6527 |
| Mailing Address |
5912 S Stockton Ave Springfield MO 65804-7559 |
| Practice Telephone | 4178820215 |
| Mailing Telephone | 4178820215 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |
| Authorized Official Name | DR. JEREMY J REED (PRESIDENT) |
| Authorized Official Telephone | 4178820215 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2007006893 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Innovative Sports Medicine | Doing Business As Name - Organization |
| Street Address |
1525 E REPUBLIC RD SUITE A115 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-6527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972960508 | Lindsey Racz | Counselor | 1525 E Republic Rd, Springfield, MO 65804-6527 | 2016-01-27 |
| 1407297336 | Patricia E Cogswell | Counselor | 1525 E Republic Rd, Ste A-105, Springfield, MO 65804-6527 | 2013-07-08 |
| 1215208277 | Cortney Ann Costello | Counselor | 1525 E Republic Rd, Springfield, MO 65804-6527 | 2012-01-24 |
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105312 | 417 Sports Medicine and Orthopedics LLC | Family Medicine | 330 W Plainview Rd Ste F, Springfield, MO 65810-2672 | 2020-08-17 |
| 1639137326 | Brian J Shiple | Family Medicine | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2006-05-02 |
| 1629575204 | Kennneth Joseph Santello | Family Medicine | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2018-04-10 |
| 1528413002 | Prospect Health Access Network, Inc. | Family Medicine | 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 | 2016-05-03 |
| 1477932762 | David Baxter | Family Medicine | 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969 | 2015-05-20 |
| 1417278789 | Kevin Duprey | Family Medicine | 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 | 2010-06-21 |
| 1467608950 | The Center for Sports Medicine, Brian J. Shiple D.o., LLC | Family Medicine | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2008-08-15 |
| 1740448745 | Thomas John Duhig | Family Medicine | 800 N 1st St, Springfield, IL 62702 | 2008-05-27 |
| 1801084736 | Rishi Sharma | Family Medicine | 800 N 1st St, Springfield, IL 62702-3719 | 2007-10-04 |
| 1184814576 | Shannon Lee Woods | Family Medicine | 3555 S National Ave, Springfield, MO 65807-7310 | 2007-07-31 |
| Find all providers in SPRINGFIELD | ||||
| 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.