Individual provider Active NPI

Jon D Lorenzino, MD

  • General Practice Physician
  • Springfield, MO
National Provider Identifier
1255537890
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
2001022242 Issued in MO
Practice address
607 W Battlefield St
Springfield, MO 65807-4123
Phone
(417) 869-2000
Fax
(417) 881-1850
NPI assigned
Jun 21, 2007
Last updated
Oct 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2001022242 MO
General Practice Physician 208D00000X 2001022242 MO Primary

Addresses

Primary practice location

607 W Battlefield St
Springfield, MO 65807-4123

Mailing address

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Physicians Group LLC CurrentSince May 1, 2011 Accepting new patients
Pain and Performance Relief LLC CurrentSince Sep 1, 2012 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Ntco LLC Past Accepting new patients
Doctors Hearing Center LLC XLLG Past Accepting new patients

Locations

1585 Woodlake Dr
Ste 214
Chesterfield, MO 63017
Phone (314) 205-8858

101 Main St
Ste 2300B
Festus, MO 63028
Phone (314) 254-2420

244 E Primrose St
Springfield, MO 65807
Phone (417) 315-9602

3150 S National Ave
Springfield, MO 65807
Phone (417) 881-5529

Organizations & group practices 5

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1255537890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074123",
            "telephone_number": "417-869-2000",
            "fax_number": "417-881-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074123",
            "telephone_number": "417-869-2000",
            "fax_number": "417-881-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZINO",
        "first_name": "JON",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2001022242",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2001022242",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 24, 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.

Verify at the official NPI Registry.