NPIMap

Individual provider Active NPI

Edidiong Offiong, MD

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1073286142
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024026006 Issued in MO
Practice address
3253 E Chestnut Expy
Springfield, MO 65802-2698
Phone
(417) 885-2200
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 2024026006 MO Primary

Addresses

Primary practice location

3253 E Chestnut Expy
Springfield, MO 65802-2698

Mailing address

3253 E Chestnut Expy
Springfield, MO 65802-2698
Phone (417) 885-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820004197 MO Practitioner - Family Practice 2264970342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

3253 E Chestnut Expy
201 Sgfmc Primary Care Frisco Building
Springfield, MO 65802-2698
Phone (417) 869-6191

Hospital & facility affiliations

  • Amedisys Home Health of Missouri Home health agency, Springfield, MO, CCN 267607
  • Integrity Home Care + Hospice Home health agency, Springfield, MO, CCN 267576
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Mercy Hospital Lebanon Hospital, Lebanon, MO, CCN 260059

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Aug 5, 2024 Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

3253 E Chestnut Expy
Ste 201
Springfield, MO 65802
Phone (417) 869-6191

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Organizations & group practices 3

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

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1073286142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 E CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022698",
            "telephone_number": "417-885-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 E CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022698",
            "telephone_number": "417-885-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFIONG",
        "first_name": "EDIDIONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024026006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.