Springfield Neurological and Spine Institute

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE

Doing business as

Springfield Neurological and Spine Institute

Practice address

1075 Nichols Rd
Ste. #5 & #6
Osage Beach, MO 65065-3093

Phone

(573) 302-0550

NPI assigned

Dec 27, 2010

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

LESTER E. COX MEDICAL CENTERSAs reported in NPPES

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

Addresses

Other names 1

• SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

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

• Springfield Neurological and Spine Institute

  • Rehabilitation Hospital Unit
  • Springfield, MO
  • NPI 1063700862

  O20110128000018

  Same enrollment
• Springfield Neurological and Spine Institute

  • Neurological Surgery Physician
  • Springfield, MO
  • NPI 1508169764

  O20110128000018

  Same enrollment
• Springfield Neurological and Spine Institute

  • Neurological Surgery Physician
  • Springfield, MO
  • NPI 1770434722

  O20110128000018

  Same enrollment
• Springfield Neurological and Spine Institute

  • Neurological Surgery Physician
  • Carthage, MO
  • NPI 1801190392

  O20110128000018

  Same enrollment
• Springfield Neurological and Spine Institute

  • Neurological Surgery Physician
  • Rolla, MO
  • NPI 1902100498

  O20110128000018

  Same enrollment

Part of

Vicky Boone MD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Herbert Mark Crabtree, M.D.

  • Neurological Surgery Physician
  • Springfield, MO
  • NPI 1659325785
  NPD
• Chad J Morgan, M.D.

  • Neurological Surgery Physician
  • Springfield, MO
  • NPI 1013964493
  NPD

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1407150998",
    "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": "1075 NICHOLS RD",
            "address_2": "STE. #5 & #6",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653093",
            "telephone_number": "573-302-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LESTER E. COX MEDICAL CENTERS",
        "enumeration_date": "2010-12-27",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "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": [
        {
            "organization_name": "SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Kathryn Sochor, PTA
• Harjyot S Sohal, MD
• Philip Hyun Son, DMD
• Cathy A Spetek, RD LD
• Brenda Renee Spies, PHARM D.
• Mark B Stevens, PSYD
• Brooke Elizabeth Stone, COTA/L
• Tasha Stuckenschneider
• Lee Supitilov
• William Supitilov

• Neurological Surgery Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Neurological Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.