Active NPI
Regional Services
- Internal Medicine Physician
- Springfield, MO
National Provider Identifier
1871660134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- REGIONAL SERVICES
- Practice address
- 3850 S National Ave
Ste 700
Springfield, MO 65807-5287 - Phone
- (417) 269-0700
- Fax
- (417) 269-0709
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Max Buetow
- Title
- Vice President
- Phone
- (417) 631-0381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3850 S National Ave
Ste 700
Springfield, MO 65807-5287
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206392 | Other | BLUE CROSS | |
| 500856307 | Medicaid | MO |
Other names 1
- CoxHealth Internal Medicine
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489449600000",
"number": "1871660134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4046",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658084046",
"telephone_number": "417-269-5712",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 S NATIONAL AVE",
"address_2": "STE 700",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075287",
"telephone_number": "417-269-0700",
"fax_number": "417-269-0709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2017-03-14",
"status": "A",
"authorized_official_last_name": "BUETOW",
"authorized_official_first_name": "MAX",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "417-631-0381"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "206392",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500856307",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CoxHealth Internal Medicine",
"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 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.