Active NPI
Christopher Joseph Sporleder, DO
- Family Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2004024760
- Practice address
- 800 Hospital Dr
Columbia, MO 65201-5275 - Phone
- (573) 814-6000
- NPI assigned
- Oct 24, 2005
- Last updated
- Nov 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G80000003 | Other | MO | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004024760 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Fitzgibbon Memorial Hospital Inc | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Fitzgibbon Professional Building | Rural health clinic | Corporate Director W-2 Managing Employee |
May 1, 2018 May 1, 2018 |
| Akeman McBurney Health Clinic | Rural health clinic | Corporate Director W-2 Managing Employee |
May 1, 2018 May 1, 2018 |
| Fitzgibbon Family Health | 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.
-
dba Fitzgibbon Family Health
- Rural Health Clinic/Center
- Fayette, MO
- NPI 1316140494
Corporate Director, W-2 Managing Employee
-
dba Fitzgibbon Professional Building
- Rural Health Clinic/Center
- Marshall, MO
- NPI 1215059985
Corporate Director, W-2 Managing Employee
-
dba Akeman McBurney Health Clinic
- Rural Health Clinic/Center
- Slater, MO
- NPI 1952611436
Corporate Director, W-2 Managing Employee
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.
-
dba Marshall Orthopedic and Sports Medicine
- Clinic/Center
- Marshall, MO
- NPI 1285650176
-
dba Clarinda Medical Associates
- Family Medicine Physician
- Clarinda, IA
- NPI 1629196241
-
- Critical Access Hospital
- Clarinda, IA
- NPI 1366486946
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.