Active NPI
Cavero Medical Group LLC
- Internal Medicine Physician
- Springfield, MO
National Provider Identifier
1528294634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 101935
- Legal business name
- CAVERO MEDICAL GROUP LLC
- Practice address
- 1514 W Lark St
Springfield, MO 65810-2262 - Phone
- (417) 631-2303
- Fax
- (417) 890-4677
- NPI assigned
- Jun 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fernando Cavero, MD
- Title
- Officer
- Phone
- (417) 631-2303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 101935 | MO | Primary |
Addresses
Primary practice location
1514 W Lark St
Springfield, MO 65810-2262
Mailing address
1514 W Lark St
Springfield, MO 65810-2262
Phone (417) 631-2303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203445101 | Medicaid | MO | |
| 101935 | Other | MO | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
1950 E Republic Rd
Springfield, MO 65804
Phone (417) 413-1115
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Buffalo, MO
- NPI 1982859195
-
- Family Medicine Physician
- Bolivar, MO
- NPI 1619959145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432252800000",
"number": "1528294634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 W LARK ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658102262",
"telephone_number": "417-631-2303",
"fax_number": "417-890-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 W LARK ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658102262",
"telephone_number": "417-631-2303",
"fax_number": "417-890-4677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAVERO MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-03",
"last_updated": "2015-05-22",
"status": "A",
"authorized_official_last_name": "CAVERO",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "417-631-2303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MO",
"license": "101935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203445101",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "101935",
"state": "MO"
}
],
"endpoints": [],
"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 May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.