Active NPI
Eric M Gifford, M.D.
- Sports Medicine (Family Medicine) Physician
- Springfield, MO
National Provider Identifier
1144532490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 20140124955
- Practice address
- 3328 S National Ave
Springfield, MO 65807-7305 - Phone
- (417) 771-3147
- Fax
- (417) 771-3256
- NPI assigned
- Jul 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 2014012495 | MO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20140124955 | MO | Primary |
Addresses
Primary practice location
3328 S National Ave
Springfield, MO 65807-7305
Mailing address
3328 S National Ave
Springfield, MO 65807-7305
Phone (417) 771-3147
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200015259 | Medicaid | MO | |
| 1144532490 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3328 S National Ave
Springfield, MO 65807-7305
Phone (417) 771-3147
Hospital & facility affiliations
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014012495 | MO | MD | Adult Medicine Physician |
| 20140124955 | MO | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 417 Sports Advanced Imaging LLC | Current | Accepting new patients | |
| 417 Sports Medicine and Orthopedics LLC | Sports Medicine | Current | Accepting new patients |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
3328 S National Ave
Ste F
Springfield, MO 65807
3328 S National Ave
Springfield, MO 65807
Phone (417) 771-3147
330 W Plainview Rd
Ste F
Springfield, MO 65810
Phone (417) 771-3147
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
Interoperability endpoints
- 417sportsmedicine.ericgifford@150307.advancedmd-direct.com
- https://api.platform.athenahealth.com/22458/brand/1/csg/1/fhir/r4
- evolutionhealth.ericgifford@159951.advancedmd-direct.com
- eric.gifford@cernerdirect.coxhealth.com
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 and National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Springfield, MO
- NPI 1871105312
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Diagnostic Radiology Physician
- Springfield, MO
- NPI 1225906597
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1144532490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3328 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077305",
"telephone_number": "417-771-3147",
"fax_number": "417-771-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3328 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077305",
"telephone_number": "417-771-3147",
"fax_number": "417-771-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "ERIC",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-01",
"last_updated": "2024-08-21",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MO",
"license": "2014012495",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MO",
"license": "20140124955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200015259",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144532490",
"state": "MO"
}
],
"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 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.