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DR. MYRON W. MIZELL MD
NPI 1154410173
Internal Medicine - Cardiovascular Disease in Springfield, MO

Active since October 11, 2006
2115 S FREMONT AVE, SUITE 4300, SPRINGFIELD, MO 65804(417) 820-3911(417) 820-3924 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Myron W. Mizell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MYRON W. MIZELL MD (NPI 1154410173) is an individual cardiovascular disease provider in Springfield, Missouri, licensed in Missouri (R5326) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1154410173
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MYRON W. MIZELLCredential: MD
Location Address2115 S FREMONT AVE, SUITE 4300Springfield, MO 65804-2239
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620
Phone(417) 820-3911
Fax(417) 820-3924
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateMay 16, 2013
✔ NPI 1154410173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · R5326
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2115 S FREMONT AVE, Springfield, MO 65804
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Other Identifiers 4

Medicare UPINA13577MO
Medicaid200946556MO
Medicare PIN479013268MO
Medicare PIN907703230MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI K CRULL ANP-BC
Nurse Practitioner (Adult Health)
2115 S FREMONT AVE, STE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
GHULAM JEELANI SIDDIQUI MD
Internal Medicine (Gastroenterology)
2115 S FREMONT AVE, SUITE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
DR. KEITH W. ELLIS MD
Internal Medicine
2115 S FREMONT AVE, SUITE 2300
SPRINGFIELD, MO 65804
Greene County (417) 820-5600
CHAD D. HOLLAND PA-C
Physician Assistant
2115 S FREMONT AVE, SUITE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960
NATALIE A. BIEKER FNP
Nurse Practitioner (Family)
2115 S FREMONT AVE, STE 4300
SPRINGFIELD, MO 65804
Greene County (417) 829-3911
DR. KIMBERLY D. STOLL MD
Pediatrics
2115 S FREMONT AVE, SUITE 2900
SPRINGFIELD, MO 65804
Greene County (417) 820-3535
CHRISTOPHER D. KNUDSEN D.O.
Internal Medicine (Gastroenterology)
2115 S FREMONT AVE, SUITE 3300
SPRINGFIELD, MO 65804
Greene County (417) 820-5200
KEITH R. ALLEN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2115 S FREMONT AVE, STE 5000
SPRINGFIELD, MO 65804
Greene County (417) 820-3960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myron Mizell's NPI number?

The NPI number for Myron Mizell is 1154410173. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Myron Mizell located?

Myron Mizell practices at 2115 S Fremont Ave Suite 4300, Springfield, MO 65804. The listed phone number is (417) 820-3911.

What is Myron Mizell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Myron Mizell was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.