Individual provider Active NPI

Molly Greenwade, MD

  • Gynecologic Oncology Physician
  • Springfield, MO
National Provider Identifier
1235574401
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
200046663 Issued in MO
Practice address
3850 S National Ave Ste 700
Springfield, MO 65807-5292
Phone
(417) 875-3000
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 200046663 MO Primary
Obstetrics & Gynecology Physician 207V00000X 35.139668 OH
Obstetrics & Gynecology Physician 207V00000X 30017 OK

Addresses

Primary practice location

3850 S National Ave Ste 700
Springfield, MO 65807-5292

Mailing address

PO Box 9007
Springfield, MO 65808-9007
Phone (417) 875-3000

Other practice location 1

920 Sl Young Blvd
Oklahoma City, OK 73104-5036
Phone (405) 271-8787

Other practice location 2

920 Sl Young Blvd
Oklahoma City, OK 73104-5036
Phone (405) 271-8787

Other practice location 3

4921 Parkview Pl Ste 13C
Saint Louis, MO 63110-1032
Phone (314) 362-3181

Other practice location 4

5308 Harroun Rd # 285
Sylvania, OH 43560-2193
Phone (419) 824-1785

Other identifiers 1

IdentifierTypeStateIssuer
200046663MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926000968 MO Practitioner - Obstetrics/Gynecology 2860791951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians

Practice addresses (Care Compare)

1001 E Primrose
Springfield, MO 65807-5155

1001 E Primrose St
Springfield, MO 65807-5155

3800 S National 4TH Floor
Ferrell Duncan Clinic
Springfield, MO 65807-5209
Phone (417) 875-3000

3801 S National
Ferrell Duncan Clinic
Springfield, MO 65807-5210
Phone (417) 269-6000

3801 S National Ave
900 Neurology
Springfield, MO 65807-5210
Phone (417) 269-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30017OKMDObstetrics & Gynecology Physician
200046663MOMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic-Springfield Communities Obstetrics & Gynecology CurrentSince Oct 16, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Apr 26, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 16, 2017 Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

3850 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-0700

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1235574401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075292",
            "telephone_number": "417-875-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Sl Young Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045036",
            "country_code": "US",
            "telephone_number": "405-271-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Sl Young Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045036",
            "country_code": "US",
            "telephone_number": "405-271-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4921 Parkview Pl Ste 13C",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631101032",
            "country_code": "US",
            "telephone_number": "314-362-3181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5308 Harroun Rd # 285",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435602193",
            "country_code": "US",
            "telephone_number": "419-824-1785",
            "fax_number": "419-824-5953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWADE",
        "first_name": "MOLLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MO",
            "license": "200046663",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.139668",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "30017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200046663",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.