NPIMap

Organization Active NPI

Springfield Neurological Institute, L.L.C.

  • Neurological Surgery Physician
  • Springfield, MO
National Provider Identifier
1427002005
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.
Doing business as
Springfield Neurological Institute, L.L.C.
Practice address
3801 S National Ave Ste 700
Springfield, MO 65807-5210
Phone
(417) 885-3888
NPI assigned
May 19, 2006
Last updated
May 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Herbert Mark Crabtree, MDNPI 1659325785
Title
Director
Phone
(417) 885-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

3801 S National Ave Ste 700
Springfield, MO 65807-5210

Mailing address

PO Box 4024
Springfield, MO 65808-4024
Phone (417) 885-3888

Other identifiers 9

IdentifierTypeStateIssuer
502277007MedicaidMO
143549002MedicaidAR
37110OtherMOENCOMPASS
5C687OtherARHEALTH ADVANTAGE
0201383OtherWADEPARTMENT OF LABOR WA
5C687OtherARARKANSAS BC- BS
5C687OtherARARKANSAS FIRST SOURCE
9012802OtherMOMO DEPT OF HEALTH
141320300OtherKSDEPARTMENT OF LABOR OWCP

Other names 1

  • Springfield Neurological Institute, L.L.C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040415000146 MO Part B Supplier - Clinic/Group Practice 8820083496 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
Practice locations: Springfield, MO; Carthage, MO; Rolla, MO; Branson, MO; Osage Beach, MO
O20050824001155 AR Part B Supplier - Clinic/Group Practice 8820083496 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Harrison, AR; Mountain Home, AR

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

1411 E Primrose St
Ste 100
Springfield, MO 65804

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1427002005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4024",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084024",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-885-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-885-3888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502277007",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143549002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENCOMPASS",
            "identifier": "37110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "5C687",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR WA",
            "identifier": "0201383",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BC- BS",
            "identifier": "5C687",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS FIRST SOURCE",
            "identifier": "5C687",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO DEPT OF HEALTH",
            "identifier": "9012802",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR OWCP",
            "identifier": "141320300",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Neurological Institute, L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 19, 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.