Duocorp Enterprises, LLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

2007006893 Issued in MO

Legal business name

DUOCORP ENTERPRISES, LLC

Doing business as

Innovative Sports Medicine

Practice address

1525 E Republic Rd
Suite A115
Springfield, MO 65804-6527

Phone

(417) 882-0215

NPI assigned

Dec 15, 2011

Last updated

Dec 15, 2011By 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

Dr. Jeremy J Reed, D.O.NPI 1487850053

Title

President

Phone

(417) 882-0215

Specialties & licenses 1

Addresses

Other names 1

• Innovative Sports Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy J Reed, DO

  • Sports Medicine (Family Medicine) Physician
  • West Plains, MO
  • NPI 1487850053
  Medicare reassignment NPD Authorized official
• Faye Denise Hudson, A.T.,C

  • Athletic Trainer
  • Springfield, MO
  • NPI 1639143928
  NPD
• Melinda Renee Reed, M.D.

  • Rheumatology Physician
  • West Plains, MO
  • NPI 1275734543
  NPD (past)

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1922377274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 S STOCKTON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047559",
            "telephone_number": "417-882-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E REPUBLIC RD",
            "address_2": "SUITE A115",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046527",
            "telephone_number": "417-882-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUOCORP ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-882-0215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MO",
            "license": "2007006893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanita Duncan, MS,CCC-SLP
• William H Duncan, MD
• Alexandria Dunlop
• Charles W Dunn, MD
• Darin Dunn
• Mark William Dupire, PHARM D
• Brett T. Durbin, D.D.S.
• Abigail Christine Durfee, PLBA
• Jamie Dee Durfey, M.D.
• Kaylee J Durham, LMSW

• Sports Medicine (Family Medicine) Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Sports Medicine (Family Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.