NPIMap

Organization Active NPI

Springfield Neurological Institute, L.L.C.

Doing business as SNI Imaging

  • Neuroradiology Physician
  • Springfield, MO
National Provider Identifier
1790814465
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
Legal business name
SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.
Doing business as
SNI Imaging
Practice address
2900 S National Ave
Springfield, MO 65804-3634
Phone
(417) 885-3888
Fax
(417) 881-7638
NPI assigned
Mar 5, 2007
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Herbert Mark Crabtree, MDNPI 1659325785
Title
Director
Phone
(417) 885-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Internal Medicine Physician 207RM1200X
Body Imaging Physician 2085B0100X
Neuroradiology Physician 2085N0700X Primary
Pediatric Radiology Physician 2085P0229X
Diagnostic Radiology Physician 2085R0202X
Vascular & Interventional Radiology Physician 2085R0204X

Addresses

Primary practice location

2900 S National Ave
Springfield, MO 65804-3634

Mailing address

PO Box 4024
Springfield, MO 65808-4024
Phone (417) 885-3888

Other identifiers 6

IdentifierTypeStateIssuer
502277007OtherMOGTE VERISON DATA SERVICES
141320300OtherKSDEPARTMENT OF LABOR OWCP
143549002MedicaidAR
5C687OtherARARKANSAS BC/BS
5C687OtherARHEALTH ADVANTAGE
37110OtherMOENCOMPAS

Other names 1

  • SNI Imaging 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.

Locations

2900 S National Ave
#A
Springfield, MO 65804
Phone (417) 269-9530

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1790814465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4024",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084024",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043634",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEUROLOGICAL INSTITUTE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-885-3888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GTE VERISON DATA SERVICES",
            "identifier": "502277007",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR OWCP",
            "identifier": "141320300",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143549002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BC/BS",
            "identifier": "5C687",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "5C687",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENCOMPAS",
            "identifier": "37110",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNI Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SNI Imaging",
            "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 Mar 29, 2023; 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.