NPIMap

Organization Active NPI

Springfield Nephrology Associates Inc

  • Nephrology Physician
  • Springfield, MO
National Provider Identifier
1942324488
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
00422232 Issued in MO
Legal business name
SPRINGFIELD NEPHROLOGY ASSOCIATES INC
Practice address
1911 S National Ave
Suite 301
Springfield, MO 65804
Phone
(417) 886-5000
Fax
(417) 886-1100
NPI assigned
Mar 19, 2007
Last updated
Aug 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Stephen Eugene Garcia, MDNPI 1285721647
Title
Owner/Physician
Phone
(417) 886-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 00422232 MO Primary

Addresses

Primary practice location

1911 S National Ave
Suite 301
Springfield, MO 65804

Mailing address

1911 S National Ave
Suite 301
Springfield, MO 65804-2219
Phone (417) 886-5000

Other identifiers 1

IdentifierTypeStateIssuer
508269305MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000516 MO Part B Supplier - Clinic/Group Practice 6901905553 Receives reassigned benefits from 14 practitioners
Practice locations: West Plains, MO; Springfield, MO; Nixa, MO; MTN Grove, MO; Mountain Grove, MO; Lebanon, MO; Bolivar, MO; Aurora, MO…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1009670Springfield Nephrology Associates Inc1911 S National Suite 301, Springfield, MO 65804Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

120 Hospital Dr
Ste 300
Lebanon, MO 65536
Phone (417) 533-6746

1200 N Main St
Ste B
Mountain Grove, MO 65711

1206 N Main St
Ste 7
Mountain Grove, MO 65711

111 N Massey Blvd
Nixa, MO 65714

1911 S National Ave
Springfield, MO 65804

2003 E Sunshine St
Ste A
Springfield, MO 65804

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1942324488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042219",
            "telephone_number": "417-886-5000",
            "fax_number": "417-886-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 S NATIONAL AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65804",
            "telephone_number": "417-886-5000",
            "fax_number": "417-886-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEPHROLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "417-886-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "00422232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508269305",
            "state": "MO"
        }
    ],
    "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 Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.