NPIMap

Organization Active NPI

Springfield Neurological and Spine Institute

  • Neurological Surgery Physician
  • Mountain Home, AR
National Provider Identifier
1275917411
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE
Practice address
639 Broadmoor Cir
Mountain Home, AR 72653-2901
Phone
(417) 885-3888
NPI assigned
Jul 17, 2015
Organization subpart
Yes
Parent organization
LESTER E. COX MEDICAL CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Ashley Casad
Title
SVP-President Springfield Hosp
Phone
(417) 269-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

639 Broadmoor Cir
Mountain Home, AR 72653-2901

Mailing address

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 885-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110406000365 AR Part B Supplier - Clinic/Group Practice 3375722945 Receives reassigned benefits from 10 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, AR; Harrison, AR; Mountain Home, AR

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Springfield Neurological and Spine Institute11 organizations share this tax ID, including this one
Part of
Christoffer J Weber

Other organizations with this tax ID 10

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

Locations

1401 Highway 62 65 N
Harrison, AR 72601
Phone (870) 414-4633

724 N Spring St
Harrison, AR 72601
Phone (870) 414-4000

639 Broadmoor Cir
Mountain Home, AR 72653
Phone (870) 424-4170

405 Buttercup Dr
Mountain Home, AR 72653
Phone (870) 425-3030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1275917411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 N JEFFERSON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021917",
            "telephone_number": "417-885-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 BROADMOOR CIR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532901",
            "telephone_number": "417-885-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LESTER E. COX MEDICAL CENTERS",
        "enumeration_date": "2015-07-17",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "CASAD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SVP-PRESIDENT SPRINGFIELD HOSP",
        "authorized_official_telephone_number": "417-269-3102"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.