EMERGENCY PHYSICIANS OF SPRINGFIELD, INC (NPI# 1952646184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952646184 |
| Entity Type | Organization |
| Organization Name | EMERGENCY PHYSICIANS OF SPRINGFIELD, INC |
| Practice Address |
1423 N Jefferson Ave Springfield MO 65802-1917 |
| Mailing Address |
4121 S Fremont Ave Suite 120 Box 205 Springfield MO 65804-6535 |
| Practice Telephone | 4172696583 |
| Mailing Telephone | 4172696583 |
| Mailing Fax Number | 4172696573 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |
| Authorized Official Name | MRS. PAMELA S SAWYERS (ADMINISTRATOR) |
| Authorized Official Telephone | 4172696583 |
| Authorized Official Credential | EMT-B, CCS, CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
2001018430 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1423 N JEFFERSON AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802-1917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004605 | Laird E. Jones | Psychiatry & Neurology | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2005-06-27 |
| 1396367264 | Brandon Allen Lane | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2020-05-13 |
| 1881215119 | Brenda Lea Stevens-ricci | Occupational Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1988 | 2020-04-28 |
| 1386263861 | Matthew A Murphy | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1988 | 2020-04-14 |
| 1790304277 | Phillip Wayne Goble | Physical Therapist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2020-04-14 |
| 1568017150 | Sara Perry | Speech-Language Pathologist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2019-08-09 |
| 1790330074 | Journey Mccarty | Pharmacist | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2019-08-05 |
| 1184180374 | Andrea James | Physician Assistant | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2019-02-13 |
| 1376036954 | Rebekah Elizabeth Pierce | Nurse Practitioner | 1423 N Jefferson Ave, Springfield, MO 65802-1988 | 2018-06-08 |
| 1477043263 | Christy Deann Laye | Nurse Practitioner | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2018-05-16 |
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565989 | Melanie Phillips | Nurse Practitioner | 140 W Main St Ste 100, Springfield, OH 45502-1369 | 2020-07-10 |
| 1649828120 | Dareth Elizabeth Fowler | Nurse Practitioner | 709 Deerfield Trl, Springfield, OH 45503-7445 | 2019-08-28 |
| 1578824983 | Daisy Seby | Nurse Practitioner | 86 Redwood Rd, Springfield, NJ 07081-2426 | 2012-06-01 |
| 1760741714 | Mini Jijo | Nurse Practitioner | 884 South Springfield Ave, #39, Springfield, NJ 07081-3314 | 2012-05-11 |
| 1326218843 | Laura Ann Reed | Nurse Practitioner | 30 W Mccreight Ave Ste 100, Springfield, OH 45504 | 2008-03-12 |
| 1669442182 | Lisa Erickson | Nurse Practitioner | 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 | 2006-01-26 |
| 1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
| 1902411424 | Samantha Gillespie | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-09-11 |
| 1649898065 | Jaines Milagros Andrades | Nurse Practitioner | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-07-13 |
| 1487288171 | Pamela Lomeli | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701-3118 | 2020-03-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
Please comment or provide details below to improve the information on EMERGENCY PHYSICIANS OF SPRINGFIELD, INC.
| 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.