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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1730166257

Jennie L Gorham, DO is a Physical Medicine and Rehabilitation in Springfield, Missouri. Qualified in 1992, 34 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
34
Licensed in
MO
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3555 S National Ave #302
Springfield, MO 65807-7310
Phone: (417) 269-6868
Fax: (417) 269-6865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence DO100997 (MO)

Record details

NPI number1730166257
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESJanuary 21, 2015
Mailing addressPo Box 4046, Springfield, MO 65808-4046

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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