Roger E. Huckfeldt, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

R2K91 Issued in MO

Practice address

1900 S National Ave
Suite 1950
Springfield, MO 65804-2265

Phone

(417) 820-7250

Fax

(417) 820-7255

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1366519464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2580",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658012580",
            "telephone_number": "417-829-4620",
            "fax_number": "417-829-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S NATIONAL AVE",
            "address_2": "SUITE 1950",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042265",
            "telephone_number": "417-820-7250",
            "fax_number": "417-820-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKFELDT",
        "first_name": "ROGER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "R2K91",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "MO",
            "license": "R2K91",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207642919",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Hubbard, PA-C
• Deborah Ann Hubbell, MS, LPC
• Jessie Hubbs
• Leroy N Hubler, DPM
• Garret Hucal, DDS
• Hannah M Huddleston, PLPC
• Cody David Hudson, FNP
• Danae L Hudson, PH.D.
• Faye Denise Hudson, A.T.,C
• Geoffrey Hudson, DACM, L.AC.

• Surgery Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.