NPIMap

Organization Active NPI

Regional Services

  • Pediatric Neurodevelopmental Disabilities Physician
  • Springfield, MO
National Provider Identifier
1679649529
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
Legal business name
REGIONAL SERVICES
Practice address
1000 E Primrose St
Suite 200
Springfield, MO 65807
Phone
(417) 269-1010
Fax
(417) 269-6755
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Max Buetow
Title
Vice President
Phone
(417) 631-0381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0008X Primary

Addresses

Primary practice location

1000 E Primrose St
Suite 200
Springfield, MO 65807

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

Other practice location 1

3525 S National Ave Ste 210
Springfield, MO 65807-7315
Phone (417) 269-1010

Other identifiers 1

IdentifierTypeStateIssuer
500034004MedicaidMO

Other names 2

  • COXHEALTH PEDIATRIC SPECIALTIES Doing business as
  • COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1679649529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PRIMROSE ST",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-269-1010",
            "fax_number": "417-269-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 S National Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077315",
            "country_code": "US",
            "telephone_number": "417-269-1010",
            "fax_number": "417-269-6755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "BUETOW",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-631-0381"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500034004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COXHEALTH PEDIATRIC SPECIALTIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH",
            "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 Jun 22, 2018; 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.