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SOUTHWEST MISSOURI INFECTIOUS DISEASE LLC
NPI 1396284303
Internal Medicine - Infectious Disease in Springfield, MO

Active since February 23, 2017
2872 S FORREST HEIGHTS AVE, SPRINGFIELD, MO 65809(417) 459-1711 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southwest Missouri Infectious Disease Llc NPPES

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

SOUTHWEST MISSOURI INFECTIOUS DISEASE LLC (NPI 1396284303) is a healthcare organization registered as an infectious disease in Springfield, Missouri and active in the NPI registry since February 2017. The organization lists Eric Jerome Fulnecky, Owner, as its authorized official.

NPPES Registry Identity

NPI1396284303
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameSOUTHWEST MISSOURI INFECTIOUS DISEASE LLC
Location Address2872 S FORREST HEIGHTS AVESpringfield, MO 65809-3417
Mailing Address2872 S Forrest Heights AveSpringfield, MO 65809-3417 · (417) 459-1711
Phone(417) 459-1711
Organization SubpartNo
Authorized OfficialEric Jerome FulneckyOwner · (417) 459-1711
Enumeration DateFebruary 23, 2017
✔ NPI 1396284303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MO · 2004006990
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2872 S FORREST HEIGHTS AVE, Springfield, MO 65809
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Other Identifiers 1

Medicare PIN919223268

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Southwest Missouri Infectious Disease LLC's NPI number?

The NPI number for Southwest Missouri Infectious Disease LLC is 1396284303. It was assigned to this organization in the NPPES registry on February 23, 2017.

Where is Southwest Missouri Infectious Disease LLC located?

Southwest Missouri Infectious Disease LLC is located at 2872 S Forrest Heights Ave, Springfield, MO 65809. The listed phone number is (417) 459-1711.

What is Southwest Missouri Infectious Disease LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

When was this NPI record last updated?

The NPPES record for Southwest Missouri Infectious Disease LLC was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.