Organization Active NPI

Ozarks Neurosurgical Associates LLC

  • Neurological Surgery Physician
  • West Plains, MO
National Provider Identifier
1154521276
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
OZARKS NEUROSURGICAL ASSOCIATES LLC
Practice address
1115 Alaska St Ste 212
West Plains, MO 65775-2014
Phone
(417) 255-9700
Fax
(417) 255-9958
NPI assigned
Jul 18, 2007
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. K Douglas Green, MD
Title
Ceo
Phone
(417) 255-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

1115 Alaska St Ste 212
West Plains, MO 65775-2014

Mailing address

1115 Alaska St Ste 212
West Plains, MO 65775-2014
Phone (417) 255-9700

National Provider Directory

National Provider Directory

Locations

1115 Alaska St
Ste 212
West Plains, MO 65775
Phone (417) 255-9700

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1154521276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 ALASKA ST STE 212",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752014",
            "telephone_number": "417-255-9700",
            "fax_number": "417-255-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 ALASKA ST STE 212",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752014",
            "telephone_number": "417-255-9700",
            "fax_number": "417-255-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS NEUROSURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "K DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-255-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.