MATTAX NEU PRATER SURGERY CENTER, LLC (NPI# 1386604908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386604908 |
| Entity Type | Organization |
| Organization Name | MATTAX NEU PRATER SURGERY CENTER, LLC |
| Practice Address |
1265 E Primrose St Springfield MO 65804-4278 |
| Practice Telephone | 4178863937 |
| Practice Fax Number | 4178861285 |
| Mailing Telephone | 4178863937 |
| Mailing Fax Number | 4178861285 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | JAMES B. MATTAX JR. (PRESIDENT) |
| Authorized Official Telephone | 4178863937 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
94-7 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 503156903 | 05 |
| Street Address |
1265 E PRIMROSE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244779 | James B Mattax Jr. | Ophthalmology | 1265 E Primrose St, Springfield, MO 65804-4278 | 2005-06-13 |
| 1952729600 | Benjamin Haden | Ophthalmology | 1265 E Primrose St, Springfield, MO 65804 | 2014-03-31 |
| 1538328489 | Jacob K. Thomas | Ophthalmology | 1265 E Primrose St, Springfield, MO 65804-4278 | 2008-06-05 |
| 1669692893 | Mattax Neu Prater Eye Center, Inc | Eyewear Supplier (Equipment, not the service) | 1265 E Primrose St, Springfield, MO 65804-4278 | 2007-04-30 |
| 1013978212 | David E Meinhardt | Nurse Anesthetist, Certified Registered | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-29 |
| 1093776098 | Marla C Smith | Optometrist | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-29 |
| 1790745313 | Mattax Neu Prater Eye Center, Inc. | Optometrist | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-27 |
| 1548239163 | Matthew T Smith | Optometrist | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-16 |
| 1790754109 | Michael S Engleman | Optometrist | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-16 |
| 1043289119 | Thomas G Prater | Ophthalmology | 1265 E Primrose St, Springfield, MO 65804-4278 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225174089 | Arnold Surgery Center | Clinic/Center | 1011 E Montclair St, Springfield, MO 65807-5075 | 2007-01-29 |
| 1912963810 | Springfield Surgery Center Lp | Clinic/Center | 2685 E High St, Springfield, OH 45505-1412 | 2006-04-21 |
| 1073588448 | Surgery Center of Springfield | Clinic/Center | 1350 E Woodhurst Dr, Springfield, MO 65804-4281 | 2006-02-21 |
| 1760457204 | Orthopaedic Surgery Center of Illinois, LLC | Clinic/Center | 3136 Old Jacksonville Rd, Suite 250, Springfield, IL 62704-6487 | 2006-02-20 |
| 1427028919 | Cascade Endoscopy Center, LLC | Clinic/Center | 1007 Harlow Road, Suite 110, Springfield, OR 97477 | 2006-01-25 |
| 1205810553 | Orthopaedic Asc of Springfield LLC | Clinic/Center | 3045 S National Ave, Suite 101, Springfield, MO 65804-4247 | 2005-11-30 |
| 1578551594 | Mercy Surgery Center, Ltd | Clinic/Center | 2610 N Limestone St, Springfield, OH 45503-1114 | 2005-10-13 |
| 1366449910 | Oregon Endoscopy Center, LLC | Clinic/Center | 3355 Riverbend Dr, Suite 510, Springfield, OR 97477-8800 | 2005-06-28 |
| 1588667208 | Bradford Place Surgery and Laser Center LLC | Clinic/Center | 1531 E Bradford Pkwy, Ste 120, Springfield, MO 65804-6539 | 2005-05-27 |
| 1295738375 | Oregon Surgicenter LLC | Clinic/Center | 2400 Hartman Ln, Ste 300, Springfield, OR 97477-1198 | 2005-05-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on MATTAX NEU PRATER SURGERY CENTER, LLC.
| 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.