NPIMap

Organization Active NPI

Springfield Ear Nose Throat & Facial Plastic Surgery

  • Specialist
  • Springfield, MO
National Provider Identifier
1811028186
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2000172900 MO Primary

Addresses

Primary practice location

3555 S Culpepper Cir
Springfield, MO 65804-4222

Mailing address

3555 S Culpepper Cir
Springfield, MO 65804-4222
Phone (417) 887-3855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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": []
}

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 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.