Regional Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REGIONAL SERVICES

Practice address

820 S Illinois Ave
Republic, MO 65738-1177

Phone

(417) 269-1910

Fax

(417) 269-1916

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

David P Taylor

Title

Vice President

Phone

(417) 269-6262

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CoxHealth Center Republic Doing business as

Member of 1

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

• Lester E Cox Medical Centers

  • Psychiatry Physician
  • Springfield, MO
  • NPI 1528837911

  Member Of

  NPD member

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1225102445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S ILLINOIS AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381177",
            "telephone_number": "417-269-1910",
            "fax_number": "417-269-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-269-6262"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505427609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoxHealth Center Republic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Place
• Rosanna Pogue
• Jaclyn Pohlers, DO
• Marcia L Preston, DDS
• Charise A Price, BSDC
• Republic Family Medical Walk-in Clinics Inc
• Republic Family Medicine, LLC
• Republic Hearing Care LLC
• Republic R-III
• Amy Sue Ridenour, MSN, FNP-C

• All providers in Republic, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.