ST. JOHN'S HEALTH SYSTEM (NPI# 1144474396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144474396 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S HEALTH SYSTEM |
| Other Organization Name | ST. JOHN'S - INTEGRATIVE MEDICINE |
| Practice Address |
1630 E Bradford Pkwy Suite B Springfield MO 65804-6513 |
| Mailing Address |
1235 E Cherokee St Springfield MO 65804-2203 |
| Practice Telephone | 4178203400 |
| Mailing Telephone | 4178208620 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |
| Authorized Official Name | MR. BRADLEY KIM DAY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4178202845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. John's - Integrative Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518273820 | St. John's Health System | General Acute Care Hospital | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2010-08-24 |
| Street Address |
1630 E BRADFORD PKWY SUITE B |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-6513 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194908632 | Flat Creek Enterprises, LLC | Clinic/Center | 1410 E Kearney St, Suite D, Springfield, MO 65803-4102 | 2007-12-06 |
| 1609895747 | Norman Soler, M.d. | Clinic/Center | 2501 Chatham Rd Ste 300, Springfield, IL 62704-7112 | 2006-07-19 |
| 1295193803 | Terrance J. Ryan D.c., P.C. | Clinic/Center | 366 River St, Springfield, VT 05156-2242 | 2016-02-10 |
| 1457729741 | Right Choice Health Group LLC | Clinic/Center | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1568855484 | Quest Primary Group LLC | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-03-17 |
| 1922490259 | Quest Cardiology Group | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-02-24 |
| 1346646601 | The Center for Sports Medicine | Clinic/Center | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2014-11-14 |
| 1134491814 | Swan Urogynecology PC | Clinic/Center | 801 Hill St, Springfield, TN 37172-2951 | 2012-01-27 |
| 1811130602 | Garrison Plastic Surgery, LLC | Clinic/Center | 1530 E. Bradford Parkway, Springfield, MO 65804 | 2009-04-09 |
| 1497930689 | Strow Dermatology Ltd | Clinic/Center | 2041 W Iles Ave, Springfield, IL 62704-7005 | 2008-01-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on ST. JOHN'S HEALTH SYSTEM.
| 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.