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PEDIATRIX MEDICAL GROUP OF SPRINGFIELD NPI 1639137797


NPI Information

NPI: 1639137797
Provider Name: PEDIATRIX MEDICAL GROUP OF SPRINGFIELD
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

CLIA Number: 26D2083576

Address:
1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 820-3219
Get Directions

PEDIATRIX MEDICAL GROUP OF SPRINGFIELD is a neonatal-perinatal medicine pediatrics in Springfield, MO. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. PEDIATRIX MEDICAL GROUP OF SPRINGFIELD NPI is 1639137797. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1235 E CHEROKEE ST
SPRINGFIELD, MO
ZIP 65804-203
Phone: (417) 820-3219

The provider's authorized official is Consolacion Sison-switala .
The authorized official title is Neonatology and has the following contact phone number (417) 820-3219.

The CLIA number assigned to this NPI record is 26D2083576 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 8/22/2020.


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
12080N0001XPediatricsNeonatal-Perinatal Medicine1999143043MISSOURIYes

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

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