DR. JOHN TROMBOLD (NPI# 1164554044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164554044 |
| Entity Type | Individual |
| Full Name | DR. JOHN TROMBOLD |
| Credential | M.D. |
| Practice Address |
1001 E Primrose St Springfield MO 65807-5155 |
| Practice Telephone | 4178753000 |
| Practice Fax Number | 4178753667 |
| Mailing Telephone | 4178753000 |
| Mailing Fax Number | 4178753667 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 2012016959 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 204405203 | 05 | |
| MO | MO LICENSE | 2012016959 | 01 |
| Street Address |
1001 E PRIMROSE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915792 | Robert Clayton Scanlon II | Urology | 1001 E Primrose St, Springfield, MO 65807-5155 | 2005-07-07 |
| 1619580537 | Nathaniel Levi Kenady | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2020-08-29 |
| 1891343893 | Connie J Garrett | Dietitian, Registered | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-09-03 |
| 1689236085 | Lindsey Joy Gelber | Dietitian, Registered | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-07-05 |
| 1174186654 | Stephenie Michele Zinter | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-04-19 |
| 1215495650 | Mikel Dashtipour | Physician Assistant | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-03-05 |
| 1043774789 | Arielle M Campbell | Physician Assistant | 1001 E Primrose St, Springfield, MO 65807-5155 | 2019-01-28 |
| 1649755919 | Stephanie Lynn Brown | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-10-02 |
| 1114401312 | Teresa Cunningham | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-09-24 |
| 1336629120 | Katelynne D Haun | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2018-08-21 |
| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405585 | Jan B Wojcik | Colon & Rectal Surgery | 175 Carew Street, Suite 110, Springfield, MA 01104 | 2005-11-21 |
| 1457348401 | Jan Rakinic | Colon & Rectal Surgery | 315 W Carpenter St, 2nd Floor, Springfield, IL 62702-4901 | 2005-10-04 |
| 1902149644 | Jennifer Lu | Colon & Rectal Surgery | 1965 S Fremont Ave Ste 100, Springfield, MO 65804 | 2013-04-01 |
| 1164759924 | Rakesh Hegde | Colon & Rectal Surgery | 1001 E Primrose St, Springfield, MO 65807 | 2009-11-14 |
| 1962623827 | Elizabeth Dawn Wietfeldt | Colon & Rectal Surgery | 900 N 1st St, Springfield, IL 62702-3749 | 2007-05-01 |
| 1760608764 | Drs Green and Hodge Inc | Colon & Rectal Surgery | 1176 E Home Rd, Springfield, OH 45503 | 2007-04-18 |
| 1558458349 | John D. Zander | Colon & Rectal Surgery | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-05 |
| 1659465813 | James W. Thiele | Colon & Rectal Surgery | 900 N. 1st Street, Springfield, IL 62702-3749 | 2006-10-03 |
| 1043317373 | Peter M.c. Hofmann | Colon & Rectal Surgery | 900 N 1st St, Springfield, IL 62702-3749 | 2006-09-20 |
| 1023088978 | Imran Hassan | Colon & Rectal Surgery | 315 W Carpenter St, 2 Nd Floor, Springfield, IL 62702-4901 | 2006-01-24 |
| 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.