ST. JOHN'S HEALTH SYSTEM (NPI# 1518273820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518273820 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S HEALTH SYSTEM |
| Practice Address |
4331 S Fremont Ave Springfield MO 65804-7328 |
| Practice Telephone | 4178205010 |
| Mailing Telephone | 4178205010 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | JENNIFER L CODUTTI (ATHLETIC TRAINER) |
| Authorized Official Telephone | 4178205010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2006026947 | MO | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144474396 | St. John's Health System | Clinic/Center | 1630 E Bradford Pkwy, Suite B, Springfield, MO 65804-6513 | 2008-11-13 |
| Street Address |
4331 S FREMONT AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-7328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201369 | Mitchell Dean Hauschildt | Specialist/Technologist | 4331 S Fremont Ave, Healthtracks Sports Training Center, Springfield, MO 65804-7328 | 2005-11-07 |
| 1568094175 | Katie Primrose | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2020-02-11 |
| 1962042358 | Michael James Lane | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2020-01-13 |
| 1578038550 | Kelsey Kapella | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-10-05 |
| 1487134722 | Connor Parrish | Physical Medicine & Rehabilitation | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1730669060 | Jessica M Jones | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1619457207 | Derek Allen Clayton | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-14 |
| 1285153650 | Holly Nicole Ode | Nurse Practitioner | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2017-09-16 |
| 1134640246 | Alexandra Jahnke | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2017-06-28 |
| 1972041358 | Ryinne A Jacquemin | Student in an Organized Health Care Education/Training Program | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2017-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1558740761 | Zarghoona Razi | General Acute Care Hospital | 6119 Greeley Blvd, Springfield, VA 22152-1831 | 2015-05-20 |
| 1821345729 | St, Mary's Hospital | General Acute Care Hospital | 409 N 13th St, Springfield, IL 62702-8422 | 2012-08-09 |
| 1215213756 | Northwest Association of Surgical Assistants, Inc. | General Acute Care Hospital | 3782 Po Box, Springfield, OR 97475 | 2011-10-28 |
| 1356629752 | University of Tennessee Health Science Center | General Acute Care Hospital | 4737 Lahr Rd, Springfield, TN 37172-7125 | 2011-08-02 |
| 1972675148 | Bharati S. Jhaveri | General Acute Care Hospital | 1312 Woods Farm Ln, Springfield, IL 62704-6545 | 2006-11-14 |
| 1316904014 | Mercy Health System Western Ohio | General Acute Care Hospital | 1 S Limestone St, Suite 700, Springfield, OH 45502-1293 | 2006-04-27 |
| 1184606923 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-17 |
| 1063961936 | Memorial Physician Services | General Acute Care Hospital | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2016-10-03 |
| 1619331022 | Prospect Ccmc, LLC | General Acute Care Hospital | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2016-04-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.