NPIMap

Organization Active NPI

Lester E. Cox Medical Centers

Doing business as Northside Pediatrics & Adolescents

  • Pediatrics Physician
  • Springfield, MO
National Provider Identifier
1801986567
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LESTER E. COX MEDICAL CENTERS
Doing business as
Northside Pediatrics & Adolescents
Practice address
1443 N Robberson Ave
Suite 200
Springfield, MO 65802-1928
Phone
(417) 269-8061
Fax
(417) 269-8087
NPI assigned
Oct 13, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
David P Taylor
Title
Vice President
Phone
(417) 269-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1443 N Robberson Ave
Suite 200
Springfield, MO 65802-1928

Mailing address

3800 S National Ave
#540
Springfield, MO 65807-5209
Phone (417) 269-6262

Other identifiers 2

IdentifierTypeStateIssuer
500458500MedicaidMO
1483OtherBLUE CROSS OF MO

Other names 1

  • NORTHSIDE PEDIATRICS & ADOLESCENTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Randall J Cross MD79 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 3

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1801986567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE",
            "address_2": "#540",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075209",
            "telephone_number": "417-269-6262",
            "fax_number": "417-269-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 N ROBBERSON AVE",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021928",
            "telephone_number": "417-269-8061",
            "fax_number": "417-269-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER E. COX MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-269-6262"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500458500",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MO",
            "identifier": "1483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHSIDE PEDIATRICS & ADOLESCENTS",
            "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 20, 2008; 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.