Active NPI
Mark A. Chambers, M.D.
- Family Medicine Physician
- Springfield, MO
National Provider Identifier
1134237456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 108168
- Practice address
- 3850 S National Ave
#520
Springfield, MO 65807-5287 - Phone
- (417) 269-7878
- Fax
- (417) 269-7887
- NPI assigned
- Aug 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 108168 | MO | Primary |
Addresses
Primary practice location
3850 S National Ave
#520
Springfield, MO 65807-5287
Mailing address
3800 S National Ave
#540
Springfield, MO 65807-5209
Phone (417) 269-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209781004 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 1, 2015 through Sep 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108168 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- mark.chambers@cernerdirect.coxhealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1134237456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S NATIONAL AVE",
"address_2": "#540",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075209",
"telephone_number": "417-269-7878",
"fax_number": "417-269-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 S NATIONAL AVE",
"address_2": "#520",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075287",
"telephone_number": "417-269-7878",
"fax_number": "417-269-7887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-27",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "108168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209781004",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.