Springfield Ear Nose Throat & Facial Plastic Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

2000172900 Issued in MO

Legal business name

SPRINGFIELD EAR NOSE THROAT & FACIAL PLASTIC SURGERY

Practice address

3555 S Culpepper Cir
Springfield, MO 65804-4222

Phone

(417) 887-3855

Fax

(417) 887-3857

NPI assigned

Mar 8, 2007

Last updated

Apr 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shawnea Adams

Title

Accounts Manager

Phone

(417) 887-3855

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, and the practitioner matching its NPPES authorized official.

• John Dock, MSCCCA-A

  • Audiologist
  • Springfield, MO
  • NPI 1457436735

  Specialist

  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1811028186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 S CULPEPPER CIR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044222",
            "telephone_number": "417-887-3855",
            "fax_number": "417-887-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 S CULPEPPER CIR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044222",
            "telephone_number": "417-887-3855",
            "fax_number": "417-887-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD EAR NOSE THROAT & FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "SHAWNEA",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "417-887-3855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "2000172900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Ridge Residential, LLC (Spring Ridge Assisted Living)
• Springfield Behavioral Hospital, LLC (Perimeter Behavioral Hospital of Springfield)
• Springfield Celebrate Pediatrics LLC
• Springfield Dental Partners LLC (Smiles Made Perfect Dental Partners)
• Springfield Dentistry 4 Kids LLC (Springfield Dentistry 4 Kids)
• Springfield Eye & Plastic Surgery
• Springfield Eye Specialists LLC
• Springfield Eyecare, LLC
• Springfield Family Dental LLC (Springfield Family Dental)
• Springfield Family Medical Walk-in Clinics Inc

• Specialist in Springfield, MO
• Providers in Springfield, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.