Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

417 Sports Medicine and Orthopedics LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1871105312

417 Sports Medicine and Orthopedics LLC provides Sports Medicine (Family Medicine) Physician services 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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