Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

417 Sports Medicine and Orthopedics LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1871105312

417 Sports Medicine and Orthopedics LLC is a Sports Medicine (Family Medicine) Physician in Springfield, Missouri. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3328 S National Ave
Springfield, MO 65807-7305
Phone: (417) 771-3147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1871105312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Gifford — Physician · (817) 825-5096
NPI enumeratedAugust 17, 2020
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address2100 E Norshire St, Springfield, MO 65804-7829

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