Active NPI
Marie C. McGettigan, MD
- Neonatal-Perinatal Medicine Physician
- Springfield, MO
National Provider Identifier
1366494635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2010037965
- Practice address
- 3801 S National Ave
Springfield, MO 65807-5210 - Phone
- (417) 269-6184
- Fax
- (417) 269-4608
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | MD.10628R | LA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2010037965 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave
Springfield, MO 65807-5210
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-6184
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207252404 | Medicaid | MO | |
| 1979384 | Medicaid | LA | |
| 200109200A | Medicaid | OK | |
| 200429190A | Medicaid | KS | |
| 165048001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.10628R | LA | MD | Neonatal-Perinatal Medicine Physician |
| 2010037965 | MO | MD | Neonatal-Perinatal Medicine Physician |
Interoperability endpoints
- marie.mcgettigan@cernerdirect.coxhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354665600000",
"number": "1366494635",
"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": "417-269-6184",
"fax_number": "417-269-4608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-269-6184",
"fax_number": "417-269-4608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGETTIGAN",
"first_name": "MARIE",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2012-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "LA",
"license": "MD.10628R",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MO",
"license": "2010037965",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207252404",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1979384",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200109200A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200429190A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165048001",
"state": "AR"
}
],
"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 Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.