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MISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICESIS
NPI 1427021765
Clinic/Center in Springfield, MO

Active since February 08, 2006
901 S NATIONAL AVE, SPRINGFIELD, MO 65804(417) 836-5461(417) 836-6101 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Missouri State University Athletic Training Servicesis NPPES

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

MISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICESIS (NPI 1427021765) is a healthcare organization registered as a clinic/center in Springfield, Missouri and active in the NPI registry since February 2006. The organization lists Ivan Eugene Milton, Director Athletic Training Services, as its authorized official.

NPPES Registry Identity

NPI1427021765
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMISSOURI STATE UNIVERSITY ATHLETIC TRAINING SERVICESIS
Location Address901 S NATIONAL AVESpringfield, MO 65804-0027
Mailing Address901 S National AveSpringfield, MO 65804-0027 · (417) 836-5461 · Fax (417) 836-6101
Phone(417) 836-5461
Fax(417) 836-6101
Organization SubpartNo
Authorized OfficialIvan Eugene MiltonDirector Athletic Training Services · (417) 836-5461
Enumeration DateFebruary 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1427021765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
901 S NATIONAL AVE, Springfield, MO 65804
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Other Providers at the Same Location NPPES 9

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

MR. JAMES THOMAS PENKALSKI ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE, FORSYTHE ATHLETIC CENTER, RM 109
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
MS. SHANNON ELIZABETH DERRICKS ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE, ATHLETIC TRAINING SERVICES
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
MS. TIMAREE ANNE WALSH ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
GARY L WARD ATC, PT
Physical Therapist
901 S NATIONAL AVE, MISSOURI STATE UNIVERSITY
SPRINGFIELD, MO 65804
Greene County (417) 836-8553
MR. JEFF SCOTT PADEN ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
MR. STEPHEN PAUL SAWCHAK AT
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
MS. ROBIN E MEEKS ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-5461
DR. MICHAEL BRIAN HUDSON PHD, ATC
Specialist/Technologist (Athletic Trainer)
901 S NATIONAL AVE
SPRINGFIELD, MO 65804
Greene County (417) 836-8553

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 Missouri State University Athletic Training Servicesis's NPI number?

The NPI number for Missouri State University Athletic Training Servicesis is 1427021765. It was assigned to this organization in the NPPES registry on February 8, 2006.

Where is Missouri State University Athletic Training Servicesis located?

Missouri State University Athletic Training Servicesis is located at 901 S National Ave, Springfield, MO 65804. The listed phone number is (417) 836-5461.

What is Missouri State University Athletic Training Servicesis's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Missouri State University Athletic Training Servicesis was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.