| Elevate Health Spravato Center | |
|
1230 E Kingsley St Ste C Springfield MO 65804-7231 | |
| (417) 512-8788 | |
| (417) 605-2831 |
| Full Name | Elevate Health Spravato Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1230 E Kingsley St Ste C, Springfield, Missouri |
| Authorized Official Name and Position | Mehdi M Tajouri (OWNER) |
| Authorized Official Contact | 4172698817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Health Spravato Center 1230 E Kingsley St Ste C Springfield MO 65804-7231 Ph: (417) 512-8788 | Elevate Health Spravato Center 1230 E Kingsley St Ste C Springfield MO 65804-7231 Ph: (417) 512-8788 |
| NPI Number | 1689488850 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 06/29/2026 |
| Certification Date | 06/29/2026 |
| Medicare PECOS PAC ID | 9931618329 |
|---|---|
| Medicare Enrollment ID | O20250605002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689488850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Erin E Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003254087 PECOS PAC ID: 5294975348 Enrollment ID: I20130712000428 |
| Provider Name | Mehdi M Tajouri |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1891135430 PECOS PAC ID: 2365758810 Enrollment ID: I20150831000590 |
| Provider Name | Shawn M Stranckmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558776229 PECOS PAC ID: 4688946064 Enrollment ID: I20170818002923 |
| Provider Name | Anthony J Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831676287 PECOS PAC ID: 4486906369 Enrollment ID: I20181003002105 |
| Provider Name | Clayton Allstun Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720716707 PECOS PAC ID: 9234506973 Enrollment ID: I20240227002569 |
| Provider Name | Brandon W Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982591483 PECOS PAC ID: 3971017088 Enrollment ID: I20250710000555 |
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 |