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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
2015006389 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MEDICARE PTAN | 148380142 | 01 |
MO | 200022972 | 05 |
Street Address |
3800 S NATIONAL AVE 4TH FLOOR |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-5209 |
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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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 | 2086S0127X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Trauma Surgery |
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/. |
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 |
Find all providers with the same taxonomy |
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.