Organization Active NPI

Cottonwood Springs Physician Group LLC

  • Neurology Physician
  • Olathe, KS
National Provider Identifier
1255913547
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
COTTONWOOD SPRINGS PHYSICIAN GROUP LLC
Practice address
15040 W 138TH St
Olathe, KS 66062-4554
Phone
(913) 154-7265
NPI assigned
Apr 26, 2021
Last updated
Apr 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRINGSTONE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Authorized official

Name
Regina Warren
Title
Dir. Cred. and Payor Enrollments
Phone
(502) 400-8480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

15040 W 138TH St
Olathe, KS 66062-4554

Mailing address

101 S 5TH St Ste 3850
Louisville, KY 40202-3127
Phone (412) 588-3546

Other names 1

  • Springstone, llc Other name

National Provider Directory

National Provider Directory
Tax ID family
Cottonwood Springs Physician Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619395200000",
    "number": "1255913547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 5TH ST STE 3850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023127",
            "telephone_number": "412-588-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15040 W 138TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660624554",
            "telephone_number": "913-154-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD SPRINGS PHYSICIAN GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRINGSTONE, LLC",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "DIR. CRED. AND PAYOR ENROLLMENTS",
        "authorized_official_telephone_number": "502-400-8480"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springstone, llc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.