Active NPI
Joseph Craigmyle, M.D.
- Emergency Medicine Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 101791
- Practice address
- 1423 N Jefferson Ave
Springfield, MO 65802-1917 - Phone
- (417) 269-6583
- Fax
- (417) 269-6573
- NPI assigned
- Oct 4, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 101791 | MO | Primary |
Addresses
Primary practice location
1423 N Jefferson Ave
Springfield, MO 65802-1917
Mailing address
PO Box 9007
Springfield, MO 65808-9007
Phone (417) 269-6583
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204700306 | Medicaid | MO | |
| 1992792030 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 61.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101791 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E. Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Emergency Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1001 E Primrose St
Ste 200
Springfield, MO 65807
Phone (417) 875-3275
1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037
3800 S National Ave
Ste 540
Springfield, MO 65807
Phone (417) 269-6262
3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056
1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583
3801 S National Ave
Fl 5
Springfield, MO 65807
2021 E Independence St
Springfield, MO 65804
Phone (417) 885-1445
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
3801 S National Ave
Ste 1122
Springfield, MO 65807
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Springfield, MO
- NPI 1760405864
-
- Family Medicine Physician
- Shell Knob, MO
- NPI 1538334396
-
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
- Family Medicine Physician
- Springfield, MO
- NPI 1922126077
Emergency Medicine
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1992792030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9007",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658089007",
"telephone_number": "417-269-6583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 N JEFFERSON AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658021917",
"telephone_number": "417-269-6583",
"fax_number": "417-269-6573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIGMYLE",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-04",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "101791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204700306",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992792030",
"state": "MO"
}
],
"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 Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.