Springfield Primary Healthcare Services, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA15504NP Issued in OH

Legal business name

SPRINGFIELD PRIMARY HEALTHCARE SERVICES, LLC

Practice address

448 E High St
Springfield, OH 45505-1008

Phone

(937) 505-9948

Fax

(937) 505-9951

NPI assigned

Aug 2, 2016

Last updated

Dec 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Shrewsbury

Title

Ceo/Nurse Practitioner

Phone

(304) 575-3279

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1578016093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051008",
            "telephone_number": "937-505-9948",
            "fax_number": "937-505-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051008",
            "telephone_number": "937-505-9948",
            "fax_number": "937-505-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD PRIMARY HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "SHREWSBURY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "304-575-3279"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA15504NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield Opco, LLC (Arbors at Springfield)
• Springfield Orthopaedic and Sports Medicine Institute LLC
• Springfield Pediatric Dentistry
• Springfield Physical Therapy Inc
• Springfield Preparatory & Fitness Academy
• Springfield Psychiatric Associates Inc (Springfield Psychiatric Associates)
• Springfield Pulmonary Inc
• Springfield Regional Anesthesia, Inc
• Springfield Regional Cancer Center, LLC
• Springfield Regional Outpatient Surgery Center LLC

• Family Nurse Practitioner in Springfield, OH
• Providers in Springfield, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.