Active NPI
Wilondja Amimu
- Medical Toxicology (Emergency Medicine) Physician
- Springfield, MO
National Provider Identifier
1316828809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Toxicology (Emergency Medicine) Physician
- License
- 232002440073
- Practice address
- 673 S Kentwood Ave
Springfield, MO 65802-3229 - Phone
- (720) 350-3109
- NPI assigned
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X | 232002440073 | MO | Primary |
Addresses
Primary practice location
673 S Kentwood Ave
Springfield, MO 65802-3229
Mailing address
673 S Kentwood Ave
Springfield, MO 65802-3229
Phone (720) 350-3109
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232002440073 | MO | MD | Medical Toxicology (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1316828809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 S KENTWOOD AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658023229",
"telephone_number": "720-350-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 S KENTWOOD AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658023229",
"telephone_number": "720-350-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIMU",
"first_name": "WILONDJA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2025-10-24",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207PT0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Medical Toxicology",
"state": "MO",
"license": "232002440073",
"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, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.