Ozark Retina & Macula

Primary specialty

SpecialistTaxonomy code 174400000X

License

MDR3K52 Issued in MO

Legal business name

OZARK RETINA & MACULA

Practice address

1230 E Kingsley St Ste a
Springfield, MO 65804-7231

Phone

(417) 830-0889

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Robert Edwin Benedett, M.D.

Title

Retina Specialist

Phone

(417) 830-0889

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• Direct secure messaging: rbenedett@ozarkretina.intellechartdirect.net

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1558766006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E KINGSLEY ST STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047231",
            "telephone_number": "417-830-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E KINGSLEY ST STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047231",
            "telephone_number": "417-830-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK RETINA & MACULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "BENEDETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "RETINA SPECIALIST",
        "authorized_official_telephone_number": "417-830-0889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "MDR3K52",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194724211",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ozark Health Ventures, LLC (Ozark Neuro Rehab Center)
• Ozark Medical Surgical Associates LTD
• Ozark Neonatal Associates, Inc. (Pediatrix Medical Group of Springfield)
• Ozark Preferred Dental Group
• Ozark Psychological Associates, L.L.C.
• Ozark Therapy Institute, LLC
• Ozarks Area Community Action Corporation (OACAC Family Planning)
• Ozarks Area Community Action Corporation Head Start
• Ozarks Community Hospital, Inc. (Ozarks Community Hospital of Springfield)
• Ozarks Dermatology Specialists, LLC

• Specialist in Springfield, MO
• Providers in Springfield, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.