NPIMap

Organization Active NPI

Neurological and Spine Institute of the Ozarks LLC

  • Neurological Surgery Physician
  • Branson, MO
National Provider Identifier
1740422104
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROLOGICAL AND SPINE INSTITUTE OF THE OZARKS LLC
Practice address
121 Cahill Rd Ste 205
Branson, MO 65616-1911
Phone
(417) 885-3888
Fax
(417) 881-7268
NPI assigned
Apr 1, 2009
Last updated
Mar 23, 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 23, 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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

121 Cahill Rd Ste 205
Branson, MO 65616-1911

Mailing address

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

Other practice location 1

525 Branson Landing Blvd Ste 301
Branson, MO 65616-2195
Phone (417) 885-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110210001142 MO Part B Supplier - Clinic/Group Practice 1951581743 Receives reassigned benefits from 9 practitioners
Practice locations: Branson, MO

National Provider Directory

National Provider Directory
Part of
Randall J Cross MD

Member of 1

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

Locations

607 N Town
Mountain Home, AR 72653
Phone (870) 424-7033

525 Branson Landing Blvd
Ste 301
Branson, MO 65616
Phone (417) 335-7479

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1740422104",
    "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": "121 CAHILL RD STE 205",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656161911",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162195",
            "country_code": "US",
            "telephone_number": "417-885-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGICAL AND SPINE INSTITUTE OF THE OZARKS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LESTER E. COX MEDICAL CENTERS",
        "enumeration_date": "2009-04-01",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.