Individual provider Active NPI

Christopher Joseph Sporleder, DO

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1013907815
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2004024760 Issued in MO
Practice address
800 Hospital Dr
Columbia, MO 65201-5275
Phone
(573) 814-6000
NPI assigned
Oct 24, 2005
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2004024760 MO Primary

Addresses

Primary practice location

800 Hospital Dr
Columbia, MO 65201-5275

Mailing address

800 Hospital Dr
Columbia, MO 65201-5275
Phone (573) 814-6000

Other identifiers 1

IdentifierTypeStateIssuer
G80000003OtherMOMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031210000822 IA Practitioner - Family Practice 3274439203 Reassigns benefits to 2 organizations
I20041104000597 MO Practitioner - Family PracticePractitioner - Emergency Medicine 3274439203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004024760MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Fitzgibbon Memorial Hospital Inc CurrentSince Oct 8, 2012 Accepting new patients
Clarinda Regional Health Center Family Medicine Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

2305 S Highway 65
Marshall, MO 65340
Phone (660) 831-3730

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/c30ce58a-2367-49b7-9f61-141cafe7a3eb/

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fitzgibbon Professional BuildingMarshall, MO, CCN 268577 Rural health clinic Corporate Director
W-2 Managing Employee
May 1, 2018
May 1, 2018
Akeman McBurney Health ClinicSlater, MO, CCN 268671 Rural health clinic Corporate Director
W-2 Managing Employee
May 1, 2018
May 1, 2018
Fitzgibbon Family HealthFayette, MO, CCN 268731 Rural health clinic Corporate Director
W-2 Managing Employee
May 1, 2018
May 1, 2018

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1013907815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015275",
            "telephone_number": "573-814-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015275",
            "telephone_number": "573-814-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORLEDER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2004024760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G80000003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.