NPIMap

Organization Active NPI

Springfield Neurological and Spine Institute

  • Neurological Surgery Physician
  • Carthage, MO
National Provider Identifier
1801190392
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE
Practice address
3125 Dr Russell Smith Way
Carthage, MO 64836-7402
Phone
(417) 359-2675
NPI assigned
Dec 27, 2010
Organization subpart
Yes
Parent organization
LESTER E. COX MEDICAL CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 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

3125 Dr Russell Smith Way
Carthage, MO 64836-7402

Mailing address

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

Other names 1

  • SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110128000018 MO Part B Supplier - Clinic/Group Practice 3375722945 Receives reassigned benefits from 16 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monett, MO; Rolla, MO; Saint Louis, MO; Springfield, MO

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Christoffer J Weber

Locations

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
#900
Springfield, MO 65807

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1801190392",
    "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": "3125 DR RUSSELL SMITH WAY",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648367402",
            "telephone_number": "417-359-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LESTER E. COX MEDICAL CENTERS",
        "enumeration_date": "2010-12-27",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "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": [
        {
            "organization_name": "SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.