Active NPI
Anne Marsh Egbert, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MO
National Provider Identifier
1033197553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 2007011946
- Practice address
- 4630 W Farm Road 82
Springfield, MO 65803-6065 - Phone
- (417) 522-5551
- Fax
- (417) 722-0001
- NPI assigned
- Jan 4, 2006
- Last updated
- Aug 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 2007011946 | MO | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 207011946 | MO | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 18742 | KS |
Addresses
Primary practice location
4630 W Farm Road 82
Springfield, MO 65803-6065
Mailing address
4630 W Farm Road 82
Springfield, MO 65803-6065
Phone (417) 522-5551
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033197553 | Medicaid | MO | |
| 175726001 | Medicaid | AR | |
| 431560263 | Other | TRICARE WEST | |
| P00653972 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18742 | KS | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
| 207011946 | MO | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1033197553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 W FARM ROAD 82",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658036065",
"telephone_number": "417-522-5551",
"fax_number": "417-722-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 W FARM ROAD 82",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658036065",
"telephone_number": "417-522-5551",
"fax_number": "417-722-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGBERT",
"first_name": "ANNE",
"middle_name": "MARSH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MO",
"license": "2007011946",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "MO",
"license": "207011946",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "KS",
"license": "18742",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033197553",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175726001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WEST",
"identifier": "431560263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00653972",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.