Active NPI
Mark J Schultz, MD
- Family Medicine Physician
- Springfield, MO
National Provider Identifier
1265477517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 105617
- Practice address
- 3805 S Kansas Expy Ste B
Springfield, MO 65807-6989 - Phone
- (417) 269-0269
- Fax
- (417) 269-0279
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 105617 | MO | Primary |
Addresses
Primary practice location
3805 S Kansas Expy Ste B
Springfield, MO 65807-6989
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010052219 | Other | RAILROAD MEDICARE | |
| 206034001 | Medicaid | MO | |
| 1673 | Other | COX HEALTH SYSTEMS | |
| P00242261 | Other | RAILROAD MEDICARE | |
| 257824 | Other | HEALTHLINK | |
| 3422 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 74.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105617 | MO | MD | Family Medicine Physician |
Interoperability endpoints
- mark.schultz@cernerdirect.coxhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1265477517",
"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": "417-739-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 S KANSAS EXPY STE B",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658076989",
"telephone_number": "417-269-0269",
"fax_number": "417-269-0279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "105617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "1010052219",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206034001",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COX HEALTH SYSTEMS",
"identifier": "1673",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00242261",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "257824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3422",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.