Southern Missouri Orthopaedics and Sports Medicine Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

R8G91 Issued in MO

Legal business name

SOUTHERN MISSOURI ORTHOPAEDICS AND SPORTS MEDICINE CLINIC

Practice address

1609 Porter Wagoner Blvd
West Plains, MO 65775-1805

Phone

(417) 255-2880

Fax

(417) 255-2860

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rick B Walker, D.O.NPI 1356309926

Title

Orthopaedic Physician

Phone

(417) 255-2880

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rick B Walker, DO

  • Orthopaedic Surgery Physician
  • Osage Beach, MO
  • NPI 1356309926
  NPD (past) Authorized official
• Jerry Dean Crum, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hermiston, OR
  • NPI 1265496152
  NPD (past)

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1407032287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 586",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750586",
            "telephone_number": "417-255-2880",
            "fax_number": "417-255-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PORTER WAGONER BLVD",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751805",
            "telephone_number": "417-255-2880",
            "fax_number": "417-255-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MISSOURI ORTHOPAEDICS AND SPORTS MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ORTHOPAEDIC PHYSICIAN",
        "authorized_official_telephone_number": "417-255-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R8G91",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Justin Sparks
• Theresa Speake, PT
• Dianne Spears
• Julie Lynn Spence

• Orthopaedic Surgery Physician in West Plains, MO
• Providers in West Plains, MO by specialty
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.