Active NPI
Lester E Cox Medical Centers
- Orthopaedic Surgery Physician
- Ozark, MO
National Provider Identifier
1164596383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- LESTER E COX MEDICAL CENTERS
- Practice address
- 5100 N Towne Centre Dr
Ozark, MO 65721-7479 - Phone
- (417) 882-8437
- Fax
- (417) 882-9587
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
5100 N Towne Centre Dr
Ozark, MO 65721-7479
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504455908 | Medicaid | MO |
Other names 2
- REGIONAL SERVICES
- Sun River Orthopaedics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070223000002 | MO | Part B Supplier - Clinic/Group Practice | 5799787784 |
Receives reassigned benefits from 11 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Springfield, MO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MO
- NPI 1356068605
O20070223000002
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627862400000",
"number": "1164596383",
"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": "5100 N TOWNE CENTRE DR",
"city": "OZARK",
"state": "MO",
"postal_code": "657217479",
"telephone_number": "417-882-8437",
"fax_number": "417-882-9587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESTER E COX MEDICAL CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2021-08-02",
"certification_date": "2021-08-02",
"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": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504455908",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "REGIONAL SERVICES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sun River Orthopaedics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sun River Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.