Lester E Cox Medical Centers
Organization Active NPI Internal Medicine Physician · Springfield, MO
NPI 1164595153 · NPPES record last updated Jun 17, 2025
Key facts
- NPI
- 1164595153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- LESTER E COX MEDICAL CENTERS
- Practice address
- 960 E Walnut Lawn St
Ste. 201
Springfield, MO 65807-7506 - Phone
- (417) 269-4450
- Fax
- (417) 269-4470
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Brock Shamel
- Title
- Vice President
- Phone
- (417) 269-4368
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 16
Practitioners 248
-
Levent Akduman, MD
-
Jacqueline L Cook, BC-FNP
-
Jessica Ann Crouch, FNP-C
-
Alina Cummins, PA
-
Amberly Taite Eversole, PA-C
-
Glenn A Geron, DO
-
Stacy Gholz, FNP-C
-
Muriel Tania Luy Go, M.D., M.B.A.
-
Kelley Ray Jenkins, BC-FNP
-
Tahra S Lock, NP-C
-
Haley R Mease, NP
-
Jamie Mooneyham, FNP-C
-
Gwenyth L Nel, APRN
-
Jamie Lynn Oleson, MSN, APRN, FNP-BC
-
Anju Susan Prasad, M.D.
-
Stephen M Reeder, MD
-
Ana Rivas Mejia, MD
-
Rea S Scroggins, FNP
-
Vinay Kumar Singh, M.D.
-
Jonben D Svoboda, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0447995 | Adult Medicine & Endocrinology Specialists | Compliance | Aug 25, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070205000198 | MO | Part B Supplier - Clinic/Group Practice | 5799787784 |
Receives reassigned benefits from 28 practitioners 2 other NPIs on this enrollment Practice locations: Springfield, MO |
National Provider Directory
Locations
119 N Ash St
Buffalo, MO 65622
Phone (417) 269-2200
820 S Illinois Ave
Republic, MO 65738
Phone (417) 269-1910
1499 N Robberson Ave
Ste K500
Springfield, MO 65802
Phone (417) 269-2667
1443 N Robberson Ave
Springfield, MO 65802
Phone (417) 269-3117
2900 S National Ave
#A
Springfield, MO 65804
Phone (417) 269-9530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
960 E Walnut Lawn St
Ste. 201
Springfield, MO 65807-7506
Mailing address
PO Box 7411626
Chicago, IL 60674-5626
Phone (417) 730-6430
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500398300 | Medicaid | MO | |
| 675 | Other | BLUE |
Other names
- Adult Medicine & Endocrinology Specialists
- Regional Services
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Springfield, MO
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
All providers in Springfield, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.