Active NPI
Louis B. Hakan, D.O.
- Pediatrics Physician
- Springfield, MO
National Provider Identifier
1366553653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2005012169
- Practice address
- 1443 N Robberson Ave
#200
Springfield, MO 65802-1928 - Phone
- (417) 269-8061
- Fax
- (417) 269-8087
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2005012169 | MO | Primary |
Addresses
Primary practice location
1443 N Robberson Ave
#200
Springfield, MO 65802-1928
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207357500 | Medicaid | MO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005012169 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox-Monett Hospital Inc | Current | Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Lester E. Cox Medical Centers | Current | Accepting new patients | |
| Cox-Monett Hospital Inc | Current | Accepting new patients | |
| Lester E. Cox Medical Centers | Past | Accepting new patients | |
| Lester E Cox Medical Centers | Past | Accepting new patients | |
| Skaggs Community Hospital Association | Past | Accepting new patients |
Locations
1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269
Interoperability endpoints
- louis.hakan@cernerdirect.coxhealth.com
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.
-
- Family Medicine Physician
- Cassville, MO
- NPI 1942467410
-
- Family Medicine Physician
- Shell Knob, MO
- NPI 1538334396
-
- Rural Health Clinic/Center
- Monett, MO
- NPI 1790145076
-
- Emergency Medicine Physician
- Monett, MO
- NPI 1669687125
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- Physical Medicine & Rehabilitation Physician
- Springfield, MO
- NPI 1033291125
-
- General Acute Care Hospital
- Branson, MO
- NPI 1760443980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1366553653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802843",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641802843",
"telephone_number": "417-730-6430",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1443 N ROBBERSON AVE",
"address_2": "#200",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658021928",
"telephone_number": "417-269-8061",
"fax_number": "417-269-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKAN",
"first_name": "LOUIS",
"middle_name": "B.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2005012169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207357500",
"state": "MO"
}
],
"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 Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.