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417 HOUSECALLS NPI 1164016036


NPI Information

NPI: 1164016036
Provider Name: 417 HOUSECALLS
Classification: Physician Assistant - 363A00000X
Entity Type: Organization

CLIA Number: 26D2214117

Address:
1335 E REPUBLIC RD STE D
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 363-3900
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417 HOUSECALLS is a physician assistant in Springfield, MO. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. 417 HOUSECALLS NPI is 1164016036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1335 E REPUBLIC RD STE D
SPRINGFIELD, MO
ZIP 65804-220
Phone: (417) 363-3900
Fax: (417) 313-9998

The provider's authorized official is Timothy Andrew Hubbard .
The authorized official title is Physician Assistant and has the following contact phone number (417) 363-3900.

The CLIA number assigned to this NPI record is 26D2214117 - other - mobile house calls with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2021 and was last updated on 1/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.