NPIMap

Organization Active NPI

Lester E Cox Medical Centers

Doing business as CoxHealth Center Ava

  • Family Medicine Physician
  • Ava, MO
National Provider Identifier
1053481689
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LESTER E COX MEDICAL CENTERS
Doing business as
CoxHealth Center Ava
Regional Services
Practice address
806 SW Collins Avenue
Ava, MO 65608
Phone
(417) 683-7200
Fax
(417) 683-0165
NPI assigned
Nov 9, 2006
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brock Shamel
Title
Vice President
Phone
(417) 269-4368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

806 SW Collins Avenue
Ava, MO 65608

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other names 2

  • CoxHealth Center Ava Doing business as
  • Regional Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070206000485 MO Part B Supplier - Clinic/Group Practice 5799787784 Receives reassigned benefits from 27 practitioners
2 other NPIs on this enrollment
Practice locations: Brookline, MO; Lebanon, MO

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations (25 of 27)

890 State Highway 248
Ste 200
Branson, MO 65616
Phone (417) 335-2299

500 W Main St
Buffalo, MO 65622
Phone (417) 345-2223

54 Medical Springs Rd
Galena, MO 65656
Phone (417) 357-6377

102 E Jackson St
Hermitage, MO 65668

510 E Missouri 32
Kansas City, MO 64180

205 N Paine St
Liberal, MO 64762

108 S Highway 39
Miller, MO 65707
Phone (417) 452-3271

601 Learning Ln
Monett, MO 65708
Phone (417) 235-3411

260 W Highway 174
Mount Vernon, MO 65712
Phone (417) 466-2312

301 E Blaze Rd
Mount Vernon, MO 65712
Phone (417) 466-7512

732 E North St
Nixa, MO 65714
Phone (417) 724-3800

1741 S 15th St
Ozark, MO 65721
Phone (417) 269-2215

2004 W Marler Ln
Ozark, MO 65721
Phone (417) 581-3006

2449 E Hartley St
Ozark, MO 65721

3608 N State Highway NN
Ozark, MO 65721
Phone (417) 582-5904

101 N Main St
Salem, MO 65560
Phone (573) 729-6642

1000 E Primrose St
Ste 400
Springfield, MO 65807
Phone (417) 269-7900

1001 E Primrose St
#2W
Springfield, MO 65807

1423 N Jefferson Ave
#B100
Springfield, MO 65802
Phone (417) 269-8817

1443 N Robberson Ave
Ste 600
Springfield, MO 65802
Phone (417) 269-4450

2021 E Independence St
Ste 300
Springfield, MO 65804

3000 S National Ave Ste 600
Springfield, MO 65804

3135 S Campbell Ave
Springfield, MO 65807

3555 S National Ave
Ste 102
Springfield, MO 65807
Phone (417) 269-9038

3800 S National Ave
Ste 720
Springfield, MO 65807

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1053481689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 SW COLLINS AVENUE",
            "city": "AVA",
            "state": "MO",
            "postal_code": "65608",
            "telephone_number": "417-683-7200",
            "fax_number": "417-683-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER E COX MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "SHAMEL",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-269-4368"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoxHealth Center Ava",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ava, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.