| Adult Medicine & Endocrinology Specialists | |
|
960 E Walnut Lawn St Ste. 201 Springfield MO 65807-7506 | |
| (417) 269-4450 | |
| (417) 269-4470 |
| Full Name | Adult Medicine & Endocrinology Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 960 E Walnut Lawn St, Springfield, Missouri |
| Authorized Official Name and Position | Brock Shamel (VICE PRESIDENT) |
| Authorized Official Contact | 4172694368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Medicine & Endocrinology Specialists Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | Adult Medicine & Endocrinology Specialists 960 E Walnut Lawn St Ste. 201 Springfield MO 65807-7506 Ph: (417) 269-4450 |
| NPI Number | 1164595153 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 5799787784 |
|---|---|
| Medicare Enrollment ID | O20070205000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164595153 | NPI | - | NPPES |
| 500398300 | Medicaid | MO | |
| 675 | Other | BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonben D Svoboda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831198993 PECOS PAC ID: 5092755033 Enrollment ID: I20050509000842 |
| Provider Name | Danielle R Braden Moll |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932104544 PECOS PAC ID: 5294737235 Enrollment ID: I20070205000485 |
| Provider Name | Linda R Macgorman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124023726 PECOS PAC ID: 6002818044 Enrollment ID: I20070205000494 |
| Provider Name | Stephen M Reeder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356441851 PECOS PAC ID: 5890797138 Enrollment ID: I20070215000302 |
| Provider Name | Charolette A Endsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386649408 PECOS PAC ID: 3577669522 Enrollment ID: I20070508000293 |
| Provider Name | James T Bonucchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225054109 PECOS PAC ID: 0749286607 Enrollment ID: I20080801000046 |
| Provider Name | Levent Akduman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245344605 PECOS PAC ID: 2860529260 Enrollment ID: I20100415000881 |
| Provider Name | Jacqueline L Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609066950 PECOS PAC ID: 9830377738 Enrollment ID: I20110623000584 |
| Provider Name | Kelley R Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275896326 PECOS PAC ID: 2860649746 Enrollment ID: I20120828000775 |
| Provider Name | Nicola W Gathaiya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154513752 PECOS PAC ID: 9032259791 Enrollment ID: I20130812000263 |
| Provider Name | Glenn A Geron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437446267 PECOS PAC ID: 8123241627 Enrollment ID: I20140602002511 |
| Provider Name | Helen M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073921334 PECOS PAC ID: 2466672480 Enrollment ID: I20140925000835 |
| Provider Name | Candace C Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063820421 PECOS PAC ID: 5395966964 Enrollment ID: I20141023001613 |
| Provider Name | Naga Nalini Tirumalasetty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003168840 PECOS PAC ID: 6204058142 Enrollment ID: I20141110001932 |
| Provider Name | Anju S Prasad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992069736 PECOS PAC ID: 1759684160 Enrollment ID: I20180126002458 |
| Provider Name | Ana Rivas Mejia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275898017 PECOS PAC ID: 8022324466 Enrollment ID: I20200817001964 |
| Provider Name | Haley R Mease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528637873 PECOS PAC ID: 6709288731 Enrollment ID: I20210713001487 |
| Provider Name | Rebecca Sue Holcomb |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023638939 PECOS PAC ID: 6709289747 Enrollment ID: I20210728001151 |
| Provider Name | Carissa Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801466784 PECOS PAC ID: 3577968452 Enrollment ID: I20210817000563 |
| Provider Name | Jennifer Lynn Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376114926 PECOS PAC ID: 3072919612 Enrollment ID: I20210908001194 |
| Provider Name | Stacy Gholz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083382915 PECOS PAC ID: 7416355698 Enrollment ID: I20211004000704 |
| Provider Name | Vinay Singh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558590513 PECOS PAC ID: 2860615747 Enrollment ID: I20211012000997 |
| Provider Name | Jessica Ann Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265192256 PECOS PAC ID: 0941692131 Enrollment ID: I20220120001179 |
| Provider Name | Rea S Scroggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780341321 PECOS PAC ID: 2567855216 Enrollment ID: I20220202000934 |
| Provider Name | Tahra S Lock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992465199 PECOS PAC ID: 9133513906 Enrollment ID: I20220222001510 |
| Provider Name | Anna Tabitha Guzman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972223279 PECOS PAC ID: 7214313204 Enrollment ID: I20220928001915 |
| Provider Name | Lynnette P Hodson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518687813 PECOS PAC ID: 9830575836 Enrollment ID: I20220928002019 |
| Provider Name | Emily Nikole Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326751793 PECOS PAC ID: 5698146710 Enrollment ID: I20230126002998 |
| Provider Name | Gwenyth L Nel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659087310 PECOS PAC ID: 8426422999 Enrollment ID: I20230323002263 |
| Provider Name | Muriel Tania Go |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205219821 PECOS PAC ID: 1850697905 Enrollment ID: I20230425000934 |
| Provider Name | Shannon Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952088130 PECOS PAC ID: 6901266717 Enrollment ID: I20230712000870 |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Cox Senior Health Center South Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 S National Ave, #307, Springfield, MO 65807 Phone: 417-269-9220 Fax: 417-269-9229 | |
The Diagnostic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S National Ave, #600, Springfield, MO 65807 Phone: 417-269-1499 Fax: 417-269-1459 | |
Cox Senior Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802 Phone: 417-269-3915 Fax: 417-269-3913 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |
Elfindale Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 W Sunshine St, Springfield, MO 65807 Phone: 417-269-2240 Fax: 417-269-2245 | |
Jordan Valley Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802 Phone: 417-831-0150 Fax: 417-831-0155 |