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3800 S National Ave Ste Ll100 Springfield MO 65807-5276 | |
(417) 269-7784 | |
(417) 269-6721 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3800 S National Ave Ste Ll100, Springfield, Missouri |
Authorized Official Name and Position | Jacob Mcway (EXECUTIVE VP & CFO) |
Authorized Official Contact | 4172698811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | 3800 S National Ave Ste Ll100 Springfield MO 65807-5276 Ph: (417) 269-7784 |
NPI Number | 1487314845 |
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Provider Enumeration Date | 12/28/2021 |
Last Update Date | 02/05/2025 |
Medicare PECOS PAC ID | 1254248917 |
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Medicare Enrollment ID | O20240808000342 |
Identifier | Type | State | Issuer |
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1487314845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
Provider Name | Allison L Nazinitsky |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1922324011 PECOS PAC ID: 5092020313 Enrollment ID: I20201230002296 |
Provider Name | Madhuri Tirumandas |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1043606320 PECOS PAC ID: 3678991130 Enrollment ID: I20240808000460 |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |