DR. SHANON M. TUTER (NPI# 1891008074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891008074 |
| Entity Type | Individual |
| Full Name | DR. SHANON M. TUTER |
| Credential | D.O. |
| Practice Address |
3231 S National Ave Ste 250 Springfield MO 65807-7304 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178850828 |
| Practice Fax Number | 4178867383 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2015-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2015013520 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1891008074 | 05 |
| Street Address |
3231 S NATIONAL AVE STE 250 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578093266 | Amanda Bergman | Nurse Practitioner | 3231 S National Ave Ste 250, Springfield, MO 65807-7304 | 2017-06-14 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134578628 | Lauren L.o. Diskin | Obstetrics & Gynecology | 2135 S Fremont Ave Ste 200, Springfield, MO 65804-2239 | 2016-06-06 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1821433368 | Jeffrey Alan Davis | Obstetrics & Gynecology | 522 Northcrest Drive, Northcrest Center for Women's Health, Springfield, TN 37172 | 2013-05-09 |
| 1134473457 | New Beginnings, Ob/gyn, LLC | Obstetrics & Gynecology | 193 Mountain Ave, Springfield, NJ 07081-1755 | 2012-11-08 |
| 1104196641 | Henry Olugbenga Adekola | Obstetrics & Gynecology | 415 N 9th St # 6w30, Springfield, IL 62702-5303 | 2011-12-30 |
| 1043506801 | Megan Christine Rooney Thompson | Obstetrics & Gynecology | 3850 S National Ave Ste 400, Springfield, MO 65807-5287 | 2011-06-21 |
| 1730415407 | Carl Lance De Fronzo | Obstetrics & Gynecology | 216 Short Hills Ave, Springfield, NJ 07081-1010 | 2009-10-30 |
| 1083887582 | Myron Seymour Soled | Obstetrics & Gynecology | 71 Tree Top Drive, Springfield, NJ 07081 | 2008-04-07 |
| 1508044884 | Ted, LLC | Obstetrics & Gynecology | 38 S Burnett Rd, Springfield, OH 45505-1441 | 2008-02-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
Please comment or provide details below to improve the information on DR. SHANON M. TUTER.
| 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.