SPRINGFIELD CLINIC LLP (NPI# 1467940387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467940387 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD CLINIC LLP |
| Other Organization Name | SPRINGFIELD CLINIC CARPENTER LAB |
| Practice Address |
350 W Carpenter St Springfield IL 62702-4902 |
| Mailing Address |
Po Box 19248 Springfield IL 62794-9248 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | JAMES ALAN NERONE (SENIOR VP & CFO) |
| Authorized Official Telephone | 2175287541 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPRINGFIELD CLINIC LLP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 14D0891040 | 01 |
| Other Name | Type Code |
|---|---|
| Springfield Clinic Carpenter Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316435340 | Springfield Clinic LLP | Clinical Medical Laboratory | 421 S Pine St, Stewardson, IL 62463-1341 | 2018-04-25 |
| 1972823631 | Springfield Clinic LLP | Clinic/Center | 3 Do It Drive, Altamont, IL 62411 | 2010-06-04 |
| 1972790889 | Springfield Clinic LLP | Clinic/Center | 223 E Sixth St, Neoga, IL 62447 | 2007-09-25 |
| 1396931432 | Springfield Clinic LLP | Clinic/Center | 507 W Washington St, Newton, IL 62448-1247 | 2007-09-22 |
| 1801384722 | Springfield Clinic LLP | Clinical Medical Laboratory | 501 N Main St, Flora, IL 62839-1405 | 2018-04-26 |
| 1366930281 | Springfield Clinic LLP | Clinical Medical Laboratory | 3 Do It Dr, Altamont, IL 62411-1135 | 2018-04-26 |
| 1518455443 | Springfield Clinic LLP | Clinical Medical Laboratory | 507 W Washington St, Newton, IL 62448-1247 | 2018-04-26 |
| 1174011092 | Springfield Clinic LLP | Clinical Medical Laboratory | 223 E 6th St, Neoga, IL 62447-1629 | 2018-04-26 |
| 1699279976 | Springfield Clinic LLP | Clinical Medical Laboratory | 300 N Maple St, Effingham, IL 62401-2003 | 2018-03-21 |
| 1235633777 | Springfield Clinic LLP | Clinical Medical Laboratory | 620 N Putnam St, Moweaqua, IL 62550-9482 | 2018-03-20 |
| Street Address |
350 W CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740264365 | Nicolas A. Forero | Internal Medicine | 350 W Carpenter St, Springfield, IL 62702-4902 | 2005-12-06 |
| 1346882412 | Morgan M Curless | Dietitian, Registered | 350 W Carpenter St, Springfield, IL 62702-4902 | 2019-10-10 |
| 1275189565 | Kevin M Starkweather | Nurse Practitioner | 350 W Carpenter St, Springfield, IL 62702-4902 | 2019-08-13 |
| 1003461831 | Jessica L Akers | Nurse Practitioner | 350 W Carpenter St, Springfield, IL 62702-4902 | 2019-08-08 |
| 1396229522 | Alison J. Gerringer | Nurse Practitioner | 350 W Carpenter St, Springfield, IL 62702-4902 | 2018-09-24 |
| 1538642533 | Edwilyn H. Colwell | Nurse Practitioner | 350 W Carpenter St, Springfield, IL 62702-4902 | 2018-09-14 |
| 1134609167 | Kelsey K. Kniepmann | Dietitian, Registered | 350 W Carpenter St, Springfield, IL 62702-4902 | 2018-08-20 |
| 1215434550 | Terra R. Curtis | Nurse Practitioner | 350 W Carpenter St, Springfield, IL 62702-4902 | 2018-04-12 |
| 1942661954 | Janice L. Floyd | Nurse Practitioner | 350 W Carpenter St, Springfield, IL 62702-4902 | 2016-03-18 |
| 1770950107 | Michael Genin | Physician Assistant | 350 W Carpenter St, Springfield, IL 62702-4902 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474360 | Mmi Laboratory Services, LLC | Clinical Medical Laboratory | 1927 S National Ave Ste A, Springfield, MO 65804-2279 | 2019-08-30 |
| 1235613712 | Identi-check, Inc | Clinical Medical Laboratory | 3 N Old State Capitol Plz, Springfield, IL 62701-1313 | 2018-09-20 |
| 1659738631 | Dynamic Dna Laboratories, LLC | Clinical Medical Laboratory | 2144 E Republic Rd, Suite B204, Springfield, MO 65804-4623 | 2016-01-21 |
| 1790170447 | Labworks LLC | Clinical Medical Laboratory | 6412 Brandon Ave Ste 342, Springfield, VA 22150-2513 | 2015-03-31 |
| 1235413428 | Labone LLC | Clinical Medical Laboratory | 1242 E Independence St Ste 200, Springfield, MO 65804-4284 | 2011-10-06 |
| 1689966038 | Springfield Clinic Soga Lab | Clinical Medical Laboratory | 900 N 1st St Fl 1, Springfield, IL 62702-3749 | 2011-05-04 |
| 1891023164 | Illinois Department of Public Health | Clinical Medical Laboratory | 525 West Jefferson, 1st Floor, Springfield, IL 62761 | 2009-11-25 |
| 1124286976 | Springfield Clinic Hematology Oncology Lab | Clinical Medical Laboratory | 900 N 1st St Fl 4, Springfield, IL 62702-3749 | 2008-05-29 |
| 1992925580 | Illinois Department of Public Health | Clinical Medical Laboratory | 825 N Rutledge St, Springfield, IL 62702-4910 | 2007-04-26 |
| 1205975174 | Tri-lakes Pathology Services,l.l.c. | Clinical Medical Laboratory | 1000 E Primrose St Ste 300, Springfield, MO 65807-5178 | 2007-02-06 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.