Individual provider Active NPI

Guy R Kline, M.D.

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1134215759
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7C20 Issued in MO
Practice address
3045 S National Ave Ste 110
Springfield, MO 65804-4247
Phone
(417) 820-8991
NPI assigned
Oct 4, 2006
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X R7C20 MO
Family Medicine Physician 207Q00000X R7C20 MO Primary

Addresses

Primary practice location

3045 S National Ave Ste 110
Springfield, MO 65804-4247

Mailing address

3045 S National Ave Ste 110
Springfield, MO 65804-4247
Phone (417) 820-8991

Other identifiers 2

IdentifierTypeStateIssuer
MOR7C20MedicaidMO
202099628MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AL2 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
I20100823001102 MO Practitioner - Family PracticePractitioner - Emergency Medicine 2062536360 Reassigns benefits to 3 organizations
I20150415001010 AL Practitioner - Family Practice 2062536360

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hermann Area Hospital District Family Medicine CurrentSince Dec 9, 2014 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC CurrentSince Jan 1, 2016 Accepting new patients
Hermann Area Hospital District CurrentSince Dec 9, 2014 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince Sep 13, 2024 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Past Accepting new patients
Pegasus Emergency Group Moberly Past Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

Interoperability endpoints

  • Direct secure messaging: guy.kline@519132116156420.direct.elationemr.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/

Organizations & group practices 6

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1134215759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE STE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044247",
            "telephone_number": "417-820-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE STE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044247",
            "telephone_number": "417-820-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINE",
        "first_name": "GUY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MO",
            "license": "R7C20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7C20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MOR7C20",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202099628",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.