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MEMORIAL PHYSICIAN SERVICES
NPI 1174877930
Family Medicine in Springfield, IL

Active since November 01, 2012
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704(217) 862-0800(217) 862-0871 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorial Physician Services NPPES

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

MEMORIAL PHYSICIAN SERVICES (NPI 1174877930) is a healthcare organization registered as a family medicine in Springfield, Illinois and active in the NPI registry since November 2012. The organization maintains a secondary practice location in Springfield and lists James T Dowell, Vice President, Mps, as its authorized official.

NPPES Registry Identity

NPI1174877930
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEMORIAL PHYSICIAN SERVICES
Location Address3132 OLD JACKSONVILLE RDSpringfield, IL 62704-7400
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Phone(217) 862-0800
Fax(217) 862-0871
Organization SubpartNo
Authorized OfficialJames T DowellVice President, Mps · (217) 788-3342
Enumeration DateNovember 1, 2012
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1174877930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3132 OLD JACKSONVILLE RD, Springfield, IL 62704
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Secondary Practice Location 1

Location 1701 N 1st St, MPSSpringfield, IL 62781-0001 · Phone (800) 577-5368 · Fax (217) 757-2021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

ALISSA DANIELLE SMITH NP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MELANIE R REYNOLDS FNP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0730
MRS. SHARON MARIE HOWARTH OTRLCHT
Occupational Therapist (Hand)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
PEGGY JONES NP
Nurse Practitioner
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0871
LAVANYA KOLLURI M.D.
Internal Medicine
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0062
MS. MELISSA S LINDERMAN OTR
Occupational Therapist
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
MEMORIAL PHYSICIAN SERVICES
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
DR. REBECCA D ANDERSON PHD
Psychologist (Clinical)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400

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 Memorial Physician Services's NPI number?

The NPI number for Memorial Physician Services is 1174877930. It was assigned to this organization in the NPPES registry on November 1, 2012.

Where is Memorial Physician Services located?

Memorial Physician Services is located at 3132 Old Jacksonville Rd, Springfield, IL 62704. The listed phone number is (217) 862-0800.

What is Memorial Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Memorial Physician Services was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.