Active NPI
Kenneth W Neu, M.D.
- Ophthalmology Physician
- Springfield, MO
National Provider Identifier
1427026715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R3M24
- Practice address
- 1265 E Primrose St
Springfield, MO 65804-4278 - Phone
- (417) 886-3937
- Fax
- (417) 886-1285
- NPI assigned
- Mar 10, 2006
- Last updated
- Jun 23, 2020
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | R3M24 | MO | Primary |
Addresses
Primary practice location
1265 E Primrose St
Springfield, MO 65804-4278
Mailing address
1265 E Primrose St
Springfield, MO 65804-4278
Phone (417) 886-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207803636 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwn@mnp1999.integrityemrdirect.com |
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
Interoperability endpoints
- kenneth.neu@cernerdirect.coxhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1427026715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044278",
"telephone_number": "417-886-3937",
"fax_number": "417-886-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658044278",
"telephone_number": "417-886-3937",
"fax_number": "417-886-1285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEU",
"first_name": "KENNETH",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "R3M24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207803636",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwn@mnp1999.integrityemrdirect.com",
"affiliation": "N",
"address_1": "1265 E Primrose St",
"city": "Springfield",
"state": "MO",
"country_code": "US",
"postal_code": "658044278",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.