| |
3525 E Battlefield St Springfield MO 65809 | |
(417) 269-1499 | |
(417) 269-1459 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 3525 E Battlefield St, Springfield, Missouri |
Authorized Official Name and Position | Brock Shamel (VICE PRESIDENT) |
Authorized Official Contact | 4172694368 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | 3525 E Battlefield St Springfield MO 65809 Ph: (417) 269-1499 |
NPI Number | 1316010135 |
---|---|
Provider Enumeration Date | 11/17/2006 |
Last Update Date | 09/30/2024 |
Medicare PECOS PAC ID | 5799787784 |
---|---|
Medicare Enrollment ID | O20070215000227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316010135 | NPI | - | NPPES |
500483607 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kimberly K Mcginn-perryman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033210331 PECOS PAC ID: 1456394394 Enrollment ID: I20050602000336 |
Provider Name | Mark R Ellis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982714804 PECOS PAC ID: 3375589302 Enrollment ID: I20050630000049 |
Provider Name | Michael D Hoeman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124031927 PECOS PAC ID: 0244232585 Enrollment ID: I20070215000319 |
Provider Name | Thuy H Dang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376719674 PECOS PAC ID: 3870658305 Enrollment ID: I20090218000040 |
Provider Name | Bradley M Gillespie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083856892 PECOS PAC ID: 1759438229 Enrollment ID: I20090421000129 |
Provider Name | Levent Akduman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1245344605 PECOS PAC ID: 2860529260 Enrollment ID: I20100415000881 |
Provider Name | Audrey M Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215118195 PECOS PAC ID: 5698809366 Enrollment ID: I20100817000604 |
Provider Name | Laci M Donnelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467727321 PECOS PAC ID: 7810158144 Enrollment ID: I20120413000406 |
Provider Name | Stephanie E Pendergrass |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902119290 PECOS PAC ID: 5395988844 Enrollment ID: I20130830000594 |
Provider Name | Jamie D Durfey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407169881 PECOS PAC ID: 4981847209 Enrollment ID: I20130905000136 |
Provider Name | Becky A Cumley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194966713 PECOS PAC ID: 6608193826 Enrollment ID: I20150327001849 |
Provider Name | Lela Anne Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750764874 PECOS PAC ID: 1254353725 Enrollment ID: I20150804003921 |
Provider Name | Marcia L. Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437535689 PECOS PAC ID: 1355657834 Enrollment ID: I20150828000661 |
Provider Name | Meghan E Guthrie-baker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982085189 PECOS PAC ID: 7911292149 Enrollment ID: I20160826000257 |
Provider Name | Crystal Spangler |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1518491042 PECOS PAC ID: 0941587240 Enrollment ID: I20170512002272 |
Provider Name | Justin S Legris |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952715716 PECOS PAC ID: 5395041321 Enrollment ID: I20170810000072 |
Provider Name | Ibrahim A Alahmad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467828202 PECOS PAC ID: 7113291204 Enrollment ID: I20170928002096 |
Provider Name | Marlana M Bray |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437565223 PECOS PAC ID: 5890018873 Enrollment ID: I20180123003314 |
Provider Name | Judith R Gonzalez |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1346323102 PECOS PAC ID: 9234130204 Enrollment ID: I20180720000229 |
Provider Name | James Ganus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245680107 PECOS PAC ID: 6204164643 Enrollment ID: I20190823000835 |
Provider Name | Nicole L Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013550482 PECOS PAC ID: 2860826088 Enrollment ID: I20191221000503 |
Provider Name | Lauren Branham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407376619 PECOS PAC ID: 2668897604 Enrollment ID: I20200807000323 |
Provider Name | Jennifer Lynn Whitmore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376114926 PECOS PAC ID: 3072919612 Enrollment ID: I20210908001194 |
Provider Name | Christa Dawn Lillard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346994399 PECOS PAC ID: 1759778483 Enrollment ID: I20230208002343 |
Provider Name | Shalvinder Kaur Seehra |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003435272 PECOS PAC ID: 7113358532 Enrollment ID: I20230816003374 |
Provider Name | Okwuchi Ogbonna |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669854071 PECOS PAC ID: 5395058879 Enrollment ID: I20230822004246 |
Provider Name | Brian Kidman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699788281 PECOS PAC ID: 8921993353 Enrollment ID: I20240326003262 |
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 | |