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SEMO STATE SPORTS MEDICINE
NPI 1871003301
Physical Medicine & Rehabilitation - Sports Medicine in Cape Girardeau, MO

Active since October 11, 2017
1 UNIVERSITY PLZ # MS 0200, CAPE GIRARDEAU, MO 63701(972) 367-4845 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Oct 11, 2017 (2 updates tracked since 2017).

About Semo State Sports Medicine NPPES

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

SEMO STATE SPORTS MEDICINE (NPI 1871003301) is a healthcare organization registered as a sports medicine in Cape Girardeau, Missouri and active in the NPI registry since October 2017. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1871003301
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameSOUTHEAST MISSOURI STATE UNIVERSITY
Location Address1 UNIVERSITY PLZ # MS 0200Cape Girardeau, MO 63701-4710
Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415 · (972) 367-4845
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateOctober 11, 2017
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1871003301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in MO · 2007008844
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
1 UNIVERSITY PLZ # MS 0200, Cape Girardeau, MO 63701
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Other Names 1

Doing Business AsSemo State Sports Medicine

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Southeast Missouri State University's NPI number?

The NPI number for Southeast Missouri State University is 1871003301. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as Semo State Sports Medicine.

Where is Southeast Missouri State University located?

Southeast Missouri State University is located at 1 University Plz # Ms 0200, Cape Girardeau, MO 63701. The listed phone number is (972) 367-4845.

What is Southeast Missouri State University's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

What insurance does Southeast Missouri State University accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southeast Missouri State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Missouri State University was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.