Springfield Internal Medicine Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

116600 Issued in MO

Legal business name

SPRINGFIELD INTERNAL MEDICINE GROUP

Practice address

1435 E Bradford Pkwy
Suite 105
Springfield, MO 65804-6563

Phone

(417) 881-4994

Fax

(417) 881-4998

NPI assigned

May 1, 2011

Organization subpart

No

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

Authorized official

Name

Keri Sutton, NP

Title

Owner / Nurse Practitioner

Phone

(417) 881-4994

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1508157140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 E BRADFORD PKWY",
            "address_2": "SUITE 105",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046563",
            "telephone_number": "417-881-4994",
            "fax_number": "417-881-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 E BRADFORD PKWY",
            "address_2": "SUITE 105",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046563",
            "telephone_number": "417-881-4994",
            "fax_number": "417-881-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-01",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "KERI",
        "authorized_official_title_or_position": "OWNER / NURSE PRACTITIONER",
        "authorized_official_telephone_number": "417-881-4994",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "116600",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2010006173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Healthcare Management LLC
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• Springfield Hearing Center
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• Springfield Kids Dental PLLC
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• Springfield Nephrology Associates Inc
• Springfield Neurological and Spine Institute
• Springfield Neurological and Spine Institute

• Internal Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.