DR. ERIC M GIFFORD (NPI# 1144532490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144532490 |
| Entity Type | Individual |
| Full Name | DR. ERIC M GIFFORD |
| Credential | M.D. |
| Practice Address |
3555 S National Ave Springfield MO 65807-7310 |
| Mailing Address |
Po Box 9007 Springfield MO 65808-9007 |
| Practice Telephone | 4178753800 |
| Mailing Telephone | 4178753000 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
2014012495 | MO | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
20140124955 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1144532490 | 05 | |
| MO | 200015259 | 05 |
| Street Address |
3555 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124009212 | Christopher M Miller | Orthopaedic Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2005-11-07 |
| 1881218477 | Kristen Jean Cheever | Nurse Practitioner | 3555 S National Ave, Springfield, MO 65807-7310 | 2020-05-30 |
| 1124583968 | Christine J Palmer | Physician Assistant | 3555 S National Ave, Springfield, MO 65807-7310 | 2019-02-06 |
| 1114428547 | Jordan Phenicie | Physician Assistant | 3555 S National Ave, Springfield, MO 65807-7310 | 2018-02-21 |
| 1194224949 | Courtney Ray | Physician Assistant | 3555 S National Ave, Springfield, MO 65807-7310 | 2018-02-07 |
| 1427444686 | Jorden Tyler Komm | Emergency Medicine | 3555 S National Ave, Springfield, MO 65807-7310 | 2015-04-14 |
| 1386041739 | Chris Foster | Specialist/Technologist | 3555 S National Ave, Springfield, MO 65807-7310 | 2014-12-01 |
| 1568881407 | Connor Barnes | Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2014-04-08 |
| 1982943502 | Joseph M Meystrik | Nurse Practitioner | 3555 S National Ave, Springfield, MO 65807-7310 | 2013-02-01 |
| 1326386863 | Erin Beth Clayman | Physician Assistant | 3555 S National Ave, Springfield, MO 65807-7310 | 2013-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105312 | 417 Sports Medicine and Orthopedics LLC | Family Medicine | 330 W Plainview Rd Ste F, Springfield, MO 65810-2672 | 2020-08-17 |
| 1922377274 | Duocorp Enterprises, LLC | Family Medicine | 1525 E Republic Rd, Suite A115, Springfield, MO 65804-6527 | 2011-12-15 |
| 1639137326 | Brian J Shiple | Family Medicine | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2006-05-02 |
| 1629575204 | Kennneth Joseph Santello | Family Medicine | 196 W Sproul Rd, Springfield, PA 19064-2045 | 2018-04-10 |
| 1528413002 | Prospect Health Access Network, Inc. | Family Medicine | 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 | 2016-05-03 |
| 1477932762 | David Baxter | Family Medicine | 1260 E Woodland Ave, Suite 200, Springfield, PA 19064-3969 | 2015-05-20 |
| 1417278789 | Kevin Duprey | Family Medicine | 196 W Sproul Rd, Suite 110, Springfield, PA 19064-2045 | 2010-06-21 |
| 1467608950 | The Center for Sports Medicine, Brian J. Shiple D.o., LLC | Family Medicine | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2008-08-15 |
| 1740448745 | Thomas John Duhig | Family Medicine | 800 N 1st St, Springfield, IL 62702 | 2008-05-27 |
| 1801084736 | Rishi Sharma | Family Medicine | 800 N 1st St, Springfield, IL 62702-3719 | 2007-10-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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| 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.