Active NPI
Jason August Muchow, AT
- Athletic Trainer
- Springfield, MO
National Provider Identifier
1972512549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2006017904
- Practice address
- Athletic Training Services Missouri State University
901 S National Ave
Springfield, MO 65897-0001 - Phone
- (417) 836-5461
- Fax
- (417) 836-6101
- NPI assigned
- Aug 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2006017904 | MO | Primary |
Addresses
Primary practice location
Athletic Training Services Missouri State University
901 S National Ave
Springfield, MO 65897-0001
Mailing address
3131 W Harrison St
Springfield, MO 65802-5209
Phone (816) 289-2845
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006017904 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972512549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 W HARRISON ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658025209",
"telephone_number": "816-289-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ATHLETIC TRAINING SERVICES MISSOURI STATE UNIVERSITY",
"address_2": "901 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658970001",
"telephone_number": "417-836-5461",
"fax_number": "417-836-6101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUCHOW",
"first_name": "JASON",
"middle_name": "AUGUST",
"name_prefix": "Mr.",
"credential": "AT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2006017904",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.