St Johns Clinic Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ST JOHNS CLINIC INC

Doing business as

SJC-Physical Medicine & Rehabilitation

Practice address

1235 E Cherokee St
Springfield, MO 65804-2203

Phone

(417) 820-2364

Fax

(417) 820-7136

NPI assigned

Jun 28, 2007

Last updated

Jun 30, 2008By 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

Donn E. Sorensen

Title

Senior Vice President

Phone

(417) 829-4264

Specialties & licenses 1

Addresses

Other names 1

• SJC-Physical Medicine & Rehabilitation Doing business as

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1649477118",
    "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": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-2364",
            "fax_number": "417-820-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "DONN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "417-829-4264"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJC-Physical Medicine & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Papaiah Sreepada, MD
• Traci N St Clair, P.A.-C.
• St Johns Clinic Inc (SJC-Family Medicine/Pediatrics-Healthtracks)
• St Johns Clinic Inc (SJC-OB/GYN-Hospitalists)
• St Johns Clinic Inc (SJC-Family Medicine-East Sunshine)
• St Johns Clinic Inc (SJC-Primary Care-Southwest)
• St Johns Clinic Inc (SJC-Women's Oncology)
• St Johns Clinic Inc (SJC-Family Medicine-South Creek)
• Jay St. Amant
• St. John's Health System (St. John's - Integrative Medicine)

• Durable Medical Equipment & Medical Supplies in Springfield, MO
• Providers in Springfield, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.