Mercy Hospital Springfield

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MERCY HOSPITAL SPRINGFIELD

Doing business as

Mercy Hospital Springfield Physical Therapy Branson

Practice address

670 Branson Landing Blvd
Branson, MO 65616-2074

Phone

(417) 332-2990

NPI assigned

Jun 17, 2009

Last updated

Jan 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott R Reynolds

Title

Vice President-Finance

Phone

(417) 820-2818

Specialties & licenses 2

Addresses

Other names 1

• Mercy Hospital Springfield Physical Therapy Branson Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Mercy Hospital Springfield

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1043242159

  O20050118000038

  Same enrollment

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1114154127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 BRANSON LANDING BLVD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162074",
            "telephone_number": "417-332-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT-FINANCE",
        "authorized_official_telephone_number": "417-820-2818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Springfield Physical Therapy Branson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Directors of the Ozarks LLC
• Menm, LLC (Miracle-Ear)
• Mercy Clinic-Springfield Communities (Mercy Clinic Famil Medicine-Branson)
• Mercy Clinic-Springfield Communities (Mercy Clinic Urgent Care-Branson)
• Mercy Clinic-Springfield Communities (Mercy Clinic-Branson Orthopedics)
• Mercy Hospital Springfield (Mercy Medical Supply)
• Mercy Hospital Springfield (Mercy Therapy Services-Branson Highway 248)
• Ashley P. Merrick, MD
• Larry Wayne Meyer, M.D.
• Lidia Miclea

• Physical Therapist in Branson, MO
• Providers in Branson, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.