NPIMap

Organization Active NPI

Skaggs Community Hospital Association

Doing business as CoxHealth General Surgery

  • Surgery Physician
  • Branson, MO
National Provider Identifier
1386708600
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
52-47 Issued in MO
Legal business name
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Doing business as
CoxHealth General Surgery
Practice address
525 Branson Landing Blvd Ste 312
Branson, MO 65616-2194
Phone
(417) 348-8080
Fax
(417) 335-7588
NPI assigned
Dec 21, 2006
Last updated
Sep 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Authorized official

Name
William K Mahoney
Title
Ceo
Phone
(417) 335-7490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52-47 MO Primary

Addresses

Primary practice location

525 Branson Landing Blvd Ste 312
Branson, MO 65616-2194

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-7241

Other identifiers 2

IdentifierTypeStateIssuer
509139309MedicaidMO
CI2096OtherRAILROAD MEDICARE

Other names 1

  • CoxHealth General Surgery Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1386708600",
    "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": "417-269-7241",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRANSON LANDING BLVD STE 312",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162194",
            "telephone_number": "417-348-8080",
            "fax_number": "417-335-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-335-7490"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "52-47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509139309",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoxHealth General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.