ST JOHNS CLINIC INC (NPI# 1083737704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083737704 |
| Entity Type | Organization |
| Organization Name | ST JOHNS CLINIC INC |
| Other Organization Name | SJC-FAMILY MEDICINE/PEDIATRICS-HEALTHTRACKS |
| Practice Address |
4331 S Fremont Ave Springfield MO 65804-7328 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178205015 |
| Practice Fax Number | 4178205026 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | DONN E. SORENSEN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4178294264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| SJC-Family Medicine/Pediatrics-Healthtracks | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710187588 | St Johns Clinic Inc | Obstetrics & Gynecology | 705 Phillips, Huntsville, AR 72740 | 2007-07-20 |
| 1902003643 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2055 S. Fremont, Suite 200, Springfield, MO 65804 | 2007-06-27 |
| 1487815304 | St Johns Clinic Inc | Obstetrics & Gynecology | 24 Norris St, Eureka Springs, AR 72632-3541 | 2008-06-23 |
| 1447439633 | St Johns Clinic Inc | Advanced Practice Midwife | 613 Orchard Dr, Berryville, AR 72616-5013 | 2007-10-24 |
| 1053518522 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 518 Pine St, Steelville, MO 65565-6041 | 2007-06-28 |
| 1649477118 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-06-28 |
| 1831396399 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 404 W Rolla Rd, Salem, MO 65560-1233 | 2007-06-28 |
| 1962609446 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2711 S Meadowbrook Ave, Springfield, MO 65807-5924 | 2007-06-28 |
| 1871790352 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 2754 W Republic Rd, Springfield, MO 65807-3901 | 2007-06-28 |
| 1033316591 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 114 Downey Pl, Cuba, MO 65453-1640 | 2007-06-28 |
| Street Address |
4331 S FREMONT AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-7328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201369 | Mitchell Dean Hauschildt | Specialist/Technologist | 4331 S Fremont Ave, Healthtracks Sports Training Center, Springfield, MO 65804-7328 | 2005-11-07 |
| 1568094175 | Katie Primrose | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2020-02-11 |
| 1962042358 | Michael James Lane | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2020-01-13 |
| 1578038550 | Kelsey Kapella | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-10-05 |
| 1487134722 | Connor Parrish | Physical Medicine & Rehabilitation | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1730669060 | Jessica M Jones | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1619457207 | Derek Allen Clayton | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-14 |
| 1285153650 | Holly Nicole Ode | Nurse Practitioner | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2017-09-16 |
| 1134640246 | Alexandra Jahnke | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2017-06-28 |
| 1972041358 | Ryinne A Jacquemin | Student in an Organized Health Care Education/Training Program | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2017-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1497315493 | Common Sleep, LLC | Durable Medical Equipment & Medical Supplies | 3246 S National Ave, Springfield, MO 65807-7303 | 2019-06-20 |
| 1649744467 | Mednav, LLC | Durable Medical Equipment & Medical Supplies | 53 Linden Ln, Springfield, IL 62712-8928 | 2019-01-15 |
| 1871065839 | Riverwood Medical Incorporated | Durable Medical Equipment & Medical Supplies | 7830 Backlick Rd Ste 100a, Springfield, VA 22150-2205 | 2018-12-31 |
| 1700358827 | Darlan Medical Incorporated | Durable Medical Equipment & Medical Supplies | 7830 Backlick Rd Ste 100b, Springfield, VA 22150-2205 | 2018-12-31 |
| 1912475484 | Show Me Systems LLC | Durable Medical Equipment & Medical Supplies | 3755 N State Highway H, Springfield, MO 65803-7137 | 2018-11-02 |
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1720570799 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1150 N 5th St Ste B, Springfield, IL 62702-6366 | 2018-06-05 |
| 1386146405 | Slocum Orthopedics, PC | Durable Medical Equipment & Medical Supplies | 3377 Riverbend Dr Ste 300, Springfield, OR 97477-8804 | 2018-03-05 |
| 1326546045 | Howard Datz | Durable Medical Equipment & Medical Supplies | 6880 Commercial Dr # 38, Springfield, VA 22151-4201 | 2018-01-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on ST JOHNS CLINIC 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.