KEVIN CLAY CHRISTIAN


Address: 3800 S National Ave, 4th Floor, Springfield, MO 65807-5209
Phone: 4178753000

KEVIN CLAY CHRISTIAN (NPI# 1194019968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194019968
Entity Type Individual
Full Name KEVIN CLAY CHRISTIAN
Credential D.O.
Practice Address 3800 S National Ave
4th Floor
Springfield
MO 65807-5209
Mailing Address Po Box 9007
Springfield
MO 65808-9007
Practice Telephone 4178753000
Mailing Telephone 4178753462
Enumeration Date 2011-06-08
Last Update Date 2018-12-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
2015006389 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO MEDICARE PTAN 148380142 01
MO 200022972 05

Office Location

Street Address 3800 S NATIONAL AVE
4TH FLOOR
City SPRINGFIELD
State MO
Zip Code 65807-5209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689665218 Laura Catherine Ross Specialist/Technologist 3800 S National Ave, Suite 160, Springfield, MO 65807-5209 2005-11-02
1518501220 Mary Artina Hutton Registered Nurse 3800 S National Ave, Springfield, MO 65807-5209 2019-11-05
1912561135 Emily Lowry Physician Assistant 3800 S National Ave, Springfield, MO 65807-5209 2019-04-23
1588149553 Emily A Ghazarian Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2018-09-26
1669966081 Marie Alexander Muia Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2018-06-19
1871085233 Rachel Frances Wallis Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2018-06-01
1285151092 Jason Dale Romine Nurse Practitioner 3800 S National Ave, Springfield, MO 65807 2017-08-23
1831643428 Regional Services Pediatrics 3800 S National Ave, Suite 730, Springfield, MO 65807-5209 2016-08-11
1669926770 Tia Phillips Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2016-08-05
1285016584 Cassandra Lawrence Nurse Practitioner 3800 S National Ave, Springfield, MO 65807-5209 2015-06-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861810111 Abbie May Jensen Surgery 615 S New Ballas Rd Ste 560a, Saint Louis, MO 63141-8221 2014-04-03
1457521478 Manuel Almendral Castasus Surgery 884 Woodsmill Road, Ttg Locum Tenens, Ballwin, MO 63011 2008-03-05
1205907359 Dennis M Arce Md Surgery 6420 Prospect Ave Ste 311, Kansas City, MO 64132-4130 2006-11-12
1811087547 Hillary Aa Chollet Md PC Surgery 6400 Prospect Ave Ste 338, Kansas City, MO 64132-1100 2006-10-13
1063468361 Midwest Trauma Services, LLC Surgery 2330 East Meyer Blvd, T-207, Kansas City, MO 64132-4147 2006-05-26
1285684167 Pascal Nyachowe Surgery 4320 Wornall Rd Ste 5320, Kansas City, MO 64111-5941 2006-05-11
1760934889 Glenarm Acute Surgical Specialists LLC Surgery 2316 E Meyer Blvd, Kansas City, MO 64132-1136 2016-10-25
1316262793 Jennifer Marie Laplante Surgery 400 1st Capitol Dr Ste 201, Saint Charles, MO 63301-2882 2010-03-29
1922236314 Jeffrey Ray Simpson Surgery 2330 E Meyer Blvd, Ste 207, Kansas City, MO 64132-1132 2009-06-24
1457504722 Leo Andrew Osifuye Benedict Surgery 4320 Wornall Rd Ste 530, Kansas City, MO 64111 2008-10-29
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Competitor

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City SPRINGFIELD
Zip Code 65807

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Dataset Information

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.

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