NPIMap

Organization Active NPI

Springfield Neurological and Spine Institute

  • Neurological Surgery Physician
  • Springfield, MO
National Provider Identifier
1508169764
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
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
3801 S National Ave
West Tower, Suite 700 & 900
Springfield, MO 65807-5210
Phone
(417) 885-3888
NPI assigned
Dec 9, 2010
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LESTER E. COX MEDICAL CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

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

Addresses

Primary practice location

3801 S National Ave
West Tower, Suite 700 & 900
Springfield, MO 65807-5210

Mailing address

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 885-3888

Other names 1

  • SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110128000018 MO Part B Supplier - Clinic/Group Practice 3375722945 Receives reassigned benefits from 16 practitioners
5 other NPIs on this enrollment
Practice locations: Monett, MO; Rolla, MO; Saint Louis, MO; Springfield, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
Springfield Neurological and Spine Institute11 organizations share this tax ID, including this one
Part of
Elfindale Family Medici

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1411 E Primrose St
Ste C
Springfield, MO 65804
Phone (417) 882-1207

3801 S National Ave
#700
Springfield, MO 65807

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1508169764",
    "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": "3801 S NATIONAL AVE",
            "address_2": "WEST TOWER, SUITE 700 & 900",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-885-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LESTER E. COX MEDICAL CENTERS",
        "enumeration_date": "2010-12-09",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "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": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "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"
        }
    ]
}

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 Mar 24, 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.