Organization Active NPI

Orthopaedic ASC of Springfield LLC

Doing business as Springfield Surgical Specialist ASC

  • Ambulatory Surgical Clinic/Center
  • Springfield, MO
National Provider Identifier
1205810553
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
190-0 Issued in MO
Legal business name
ORTHOPAEDIC ASC OF SPRINGFIELD LLC
Doing business as
Springfield Surgical Specialist ASC
Practice address
3045 S National Ave
Suite 101
Springfield, MO 65804-4247
Phone
(417) 447-3910
Fax
(417) 882-5716
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Jane Malone, RN
Title
Director of Clinical Services
Phone
(417) 447-3910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 190-0 MO Primary

Addresses

Primary practice location

3045 S National Ave
Suite 101
Springfield, MO 65804-4247

Mailing address

3045 S National Ave
Suite 101
Springfield, MO 65804-4247
Phone (417) 447-3910

Other names 1

  • Springfield Surgical Specialist ASC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3045 S National Ave
Ste 101
Springfield, MO 65804
Phone (417) 447-3910

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1205810553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE",
            "address_2": "SUITE 101",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044247",
            "telephone_number": "417-447-3910",
            "fax_number": "447-882-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 S NATIONAL AVE",
            "address_2": "SUITE 101",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044247",
            "telephone_number": "417-447-3910",
            "fax_number": "417-882-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASC OF SPRINGFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "417-447-3910",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "190-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Surgical Specialist ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2007; 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.