SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE (NPI# 1063700862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063700862 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE |
| Other Organization Name | SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE |
| Practice Address |
3535 S National Ave Springfield MO 65807-7310 |
| Mailing Address |
Po Box 9434 Springfield MO 65801-9434 |
| Practice Telephone | 4178853888 |
| Mailing Telephone | 4178853888 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |
| Authorized Official Name | MR. TERRY V DEPRIEST (CLINIC OPERATIONS OFFICER) |
| Authorized Official Telephone | 4178853888 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | LESTER E. COX MEDICAL CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Springfield Neurological and Spine Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275917411 | Springfield Neurological and Spine Institute | Neurological Surgery | 639 Broadmoor Cir, Mountain Home, AR 72653-2901 | 2015-07-17 |
| 1780082545 | Springfield Neurological and Spine Institute | Neurological Surgery | 405 Buttercup Dr, Mountain Home, AR 72653-2910 | 2014-12-10 |
| 1023433919 | Springfield Neurological and Spine Institute | Neurological Surgery | 825 N Main St, Harrison, AR 72601-2914 | 2014-02-28 |
| 1104162916 | Springfield Neurological and Spine Institute | Neurological Surgery | 620 N Main St, Harrison, AR 72601-2911 | 2012-12-26 |
| 1790062859 | Springfield Neurological and Spine Institute | Neurological Surgery | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2011-11-03 |
| 1821392325 | Springfield Neurological and Spine Institute | Neurological Surgery | 724 N Spring St, Harrison, AR 72601-2913 | 2010-12-27 |
| 1407150998 | Springfield Neurological and Spine Institute | Neurological Surgery | 1075 Nichols Rd, Ste. #5 & #6, Osage Beach, MO 65065-3093 | 2010-12-27 |
| 1093019564 | Springfield Neurological and Spine Institute | Neurological Surgery | 121 Cahill Rd, Suite 205, Branson, MO 65616-2036 | 2010-12-27 |
| 1659675148 | Springfield Neurological and Spine Institute | Neurological Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2010-12-27 |
| 1902100498 | Springfield Neurological and Spine Institute | Neurological Surgery | 1050 W 10th St, Suite 580, Rolla, MO 65401-2905 | 2010-12-27 |
| Street Address |
3535 S NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245263102 | Lester E Cox Medical Centers | Skilled Nursing Facility | 3535 S National Ave, Springfield, MO 65807-7310 | 2006-07-07 |
| 1851920474 | Robert Wilson Fleming | Physical Therapist | 3535 S National Ave, Springfield, MO 65807-7310 | 2020-04-06 |
| 1306474796 | Mallory Moore | Speech-Language Pathologist | 3535 S National Ave, Springfield, MO 65807-7310 | 2020-03-31 |
| 1285170316 | Ashley Staats | Specialist/Technologist | 3535 S National Ave, Springfield, MO 65807-7310 | 2017-01-12 |
| 1790184489 | Queen City Anesthesia Group, LLC | Anesthesiology | 3535 S National Ave, Springfield, MO 65807-7310 | 2014-08-19 |
| 1063513182 | Jill Rude | Nurse Practitioner | 3535 S National Ave, Springfield, MO 65807-7310 | 2006-09-25 |
| 1801821947 | Lester E Cox Medical Centers | Rehabilitation Unit | 3535 S National Ave, Springfield, MO 65807-7310 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801821947 | Lester E Cox Medical Centers | Rehabilitation Unit | 3535 S National Ave, Springfield, MO 65807-7310 | 2006-07-11 |
| 1932131778 | Mercy Hospital Springfield | Rehabilitation Unit | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2006-07-06 |
| 1831157205 | Community Mercy Health Partners | Rehabilitation Unit | 100 Medical Center Dr, Springfield, OH 45504 | 2006-05-03 |
| 1679559553 | Memorial Medical Center | Rehabilitation Unit | 701 N 1st St, Mab 528, Springfield, IL 62781-0001 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457864944 | Mcclay Health and Rehab LLC | Rehabilitation Unit | 3801 Mcclay Rd, Saint Peters, MO 63376-7327 | 2017-11-07 |
| 1841385093 | Heartland Regional Medical Center | Rehabilitation Unit | 5325 Faraon, Saint Joseph, MO 64506-3398 | 2006-10-04 |
| 1790239895 | Karin Derigne | Rehabilitation Unit | 1101 Highway K, O Fallon, MO 63366-8431 | 2016-08-08 |
| 1801275466 | Harley Grant Beck | Rehabilitation Unit | 3950 Newman Rd, Joplin, MO 64801-1512 | 2015-05-28 |
| 1134506611 | Department of Veterans Affairs | Rehabilitation Unit | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2015-05-04 |
| 1033596234 | Hannibal Regional Healthcare System Inc | Rehabilitation Unit | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2015-04-27 |
| 1962809947 | Prime Healthcare Services Blue Springs, LLC | Rehabilitation Unit | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2014-11-19 |
| 1558767624 | Prime Healthcare Services Kansas City, LLC | Rehabilitation Unit | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2014-11-17 |
| 1508192543 | Mercy Hospital Joplin | Rehabilitation Unit | 2817 Saint Johns Blvd, Joplin, MO 64804-1563 | 2009-10-27 |
| 1659522829 | Supplemental | Rehabilitation Unit | 20 Ne Saint Lukes Blvd, Suite 100, Lees Summit, MO 64086-6001 | 2008-10-07 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.