JOHN CHARLES MACE (NPI# 1114971264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114971264 |
| Entity Type | Individual |
| Full Name | JOHN CHARLES MACE |
| Credential | M.D. |
| Practice Address |
3801 S National Ave West Tower, Suite 700 Springfield MO 65807-5210 |
| Mailing Address |
Po Box 9434 Springfield MO 65801-9434 |
| Practice Telephone | 4178853888 |
| Practice Fax Number | 4178817638 |
| Mailing Telephone | 4178853888 |
| Mailing Fax Number | 4178817638 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | E3602 | AR | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 118061 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CIGNA HEALTHCARE | 0156395001 | 01 |
| AR | ARKANSAS BC/BS | 5M988 | 01 |
| MO | COX HEALTH PLANS UPI | 7623 | 01 |
| AR | 139629001 | 05 | |
| AR | ARKANSAS FIRST SOURCE | 5M988 | 01 |
| MO | USPS (W/C) | G93208 | 01 |
| WA | DEPARTMENT OF LABOR WA | 0215049 | 01 |
| MO | CIGNA MEDICARE | 4188130001 | 01 |
| MO | QUAL CHOICE | 04040017000 | 01 |
| MO | UNITED HEALTHCARE | 0602002 | 01 |
| MO | COX HEALTH PLANS | 18942 | 01 |
| AR | HEALTH ADVANTAGE | 5M988 | 01 |
| MO | BLUE CROSS/CHOICE | 119340 | 01 |
| MO | 203985700 | 05 | |
| MO | HEALTHLINK | 412307 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235215393 | John Mace | Optometrist | Ultimate Vision, 334 S. Mustang Rd, Yukon, OK 73099-6703 | 2006-10-31 |
| 1558851097 | John Alexander Mace | Nurse Anesthetist, Certified Registered | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2018-05-10 |
| 1124048046 | John W Mace | Pediatrics | 11370 Anderson St, Ste B-100, Loma Linda, CA 92354-3450 | 2006-07-21 |
| Street Address |
3801 S NATIONAL AVE WEST TOWER, SUITE 700 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144224569 | John W Clouse | Specialist | 3801 S National Ave, Springfield, MO 65807-5210 | 2005-06-13 |
| 1518568377 | Anna Marie Laffoon | Dietitian, Registered | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-11-06 |
| 1164020822 | Amber Fullington | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-10-15 |
| 1013522150 | Jessica N Rice | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-09-15 |
| 1649880618 | Amber Littleton | Midwife | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-08-05 |
| 1689283988 | Kelley Lizabeth Miller | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-23 |
| 1801404140 | Alyssa Nicole Reeves | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-22 |
| 1255949624 | Lori Marie Burkard | Speech-Language Pathologist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-21 |
| 1316555980 | Jessica Graff | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-20 |
| 1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
| Find all providers in the same location | ||||
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
| 1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
| 1194080010 | Scott B Raymond | Neurological Surgery | 2 Medical Center Dr Ste 503, Springfield, MA 01107-1273 | 2012-07-06 |
| 1396988051 | Kevin J Mansfield | Neurological Surgery | 1229 E Seminole St Ste 220, Springfield, MO 65804 | 2009-04-10 |
| 1881853158 | Mayur Jayarao | Neurological Surgery | 3801 S National Ave Ste 700, Springfield, MO 65807 | 2008-06-03 |
| 1164691358 | Donald Hall Pearson | Neurological Surgery | 5116 Eagle Rdg, Springfield, IL 62711-7811 | 2008-02-21 |
| 1750301875 | Jeffrey W. Cozzens | Neurological Surgery | 751 N Rutledge St Fl 3, Springfield, IL 62702-4968 | 2006-07-20 |
| 1972537132 | Alan M. Scarrow | Neurological Surgery | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2006-07-11 |
| 1780628719 | Andrew J Kokkino | Neurological Surgery | 3377 Riverbend Dr Fl 5, Springfield, OR 97477-8803 | 2006-06-16 |
| 1134613961 | Nathan Nordmann | Neurological Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2018-06-15 |
| Find all providers in SPRINGFIELD | ||||
| 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.