Neil Nathan MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R5C40 Issued in MO

Legal business name

NEIL NATHAN MD PC

Practice address

2828 N National Ave
Suite D
Springfield, MO 65803-4306

Phone

(417) 869-7583

Fax

(417) 869-7592

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Neil Jay Nathan, MDNPI 1174510788

Title

Owner

Phone

(417) 869-7583

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil J Nathan, MD

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1174510788
  NPD (past) Authorized official

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750414868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N NATIONAL AVE",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034306",
            "telephone_number": "417-869-7583",
            "fax_number": "417-869-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 N NATIONAL AVE",
            "address_2": "SUITE D",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658034306",
            "telephone_number": "417-869-7583",
            "fax_number": "417-869-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL NATHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-869-7583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R5C40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NDR Counseling, LLC
• Sara Ann Neal, PSYD
• Jesse W Neeley, DO
• Adam Blaine Neff, LPC
• Sami M Nega
• Brett Neill, MD
• Catherine Leigh Neill, RPH
• William E Nelgner, PLPC
• Dr Faith Nelson Eagles
• Adriane Nelson, SLP

• Family Medicine Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.