NPIMap

Organization Active NPI

Select Medical Group LLC

  • Internal Medicine Physician
  • Springfield, MO
National Provider Identifier
1740508183
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
115794 Issued in MO
Legal business name
SELECT MEDICAL GROUP LLC
Practice address
1630 E Primrose St
Springfield, MO 65804-7929
Phone
(417) 885-4700
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Dr. Christian Erick Kaufman, M.D.
Title
Principal
Phone
(417) 224-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 115794 MO Primary

Addresses

Primary practice location

1630 E Primrose St
Springfield, MO 65804-7929

Mailing address

1491 S Ranch Dr
Springfield, MO 65809-2235
Phone (417) 224-4990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1740508183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 S RANCH DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092235",
            "telephone_number": "417-224-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047929",
            "telephone_number": "417-885-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ERICK",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "417-224-4990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "115794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.