SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE (NPI# 1659675148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659675148 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE |
| Other Organization Name | SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE |
| Practice Address |
3 Medical Plz Mountain Home AR 72653-2918 |
| Mailing Address |
1423 N Jefferson Ave Springfield MO 65802-1917 |
| Practice Telephone | 4178853888 |
| Mailing Telephone | 4178853888 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2015-10-13 |
| Authorized Official Name | MR. MAX BUETOW (DIRECTOR OF CLINICS) |
| Authorized Official Telephone | 4178853888 |
| Is Organization Subpart | Y |
| Parent Organization Name | LESTER E. COX MEDICAL CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| 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 |
| 1063700862 | Springfield Neurological and Spine Institute | Rehabilitation Unit | 3535 S National Ave, Springfield, MO 65807-7310 | 2011-07-13 |
| 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 |
| 1902100498 | Springfield Neurological and Spine Institute | Neurological Surgery | 1050 W 10th St, Suite 580, Rolla, MO 65401-2905 | 2010-12-27 |
| Street Address |
3 MEDICAL PLZ |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720052616 | Stacy Ann Kennedy | Nurse Practitioner | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2006-02-15 |
| 1417569328 | Brandyn Harold Ray Batterton | Physical Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2020-08-21 |
| 1063045698 | Kimberly Eve Kroeze | Physical Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2020-02-21 |
| 1093359994 | Matthew D Brandon | Physical Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2019-11-04 |
| 1417516568 | Asher G Bogdanove | Physical Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2019-06-12 |
| 1306178140 | Michelle R Bird | Specialist/Technologist, Other | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2010-02-04 |
| 1356560692 | Russell B. Rauls | Orthopaedic Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-04-25 |
| 1992924229 | Jason P Mcconnell | Orthopaedic Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-04-25 |
| 1497871420 | Amanda Tenille Rauls | Nurse Practitioner | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-03-21 |
| 1922131820 | Melissa Smyth | Occupational Therapist | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| 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 |
|---|---|---|---|---|
| 1720515737 | Baxter County Regional Hospital Inc | Neurological Surgery | 310 Buttercup Dr Ste A, Mountain Home, AR 72653-2932 | 2017-05-22 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347132 | Mariah Lee Simmons | Neurological Surgery | 7001 Rogers Ave Ste 501, Fort Smith, AR 72903-4073 | 2019-10-09 |
| 1043726888 | Emad Talal Aboud | Neurological Surgery | 5 Saint Vincent Cir Ste 503, Little Rock, AR 72205-5416 | 2017-12-15 |
| 1871035352 | Edison Brain & Spine Surgeons, Pllc | Neurological Surgery | 3880 Plantation Estates Dr, Jonesboro, AR 72404-6891 | 2016-11-15 |
| 1588984223 | Tarek Abuelem | Neurological Surgery | 6020 Warden Rd, Suite 100, Sherwood, AR 72120-6068 | 2010-06-04 |
| 1417106592 | Wilbur Mack Giles | Neurological Surgery | 24 Duclair Ct, Little Rock, AR 72223-9570 | 2008-09-15 |
| 1245487198 | John Akins | Neurological Surgery | 2110 East Main Street, Mountian View, AR 72560 | 2008-08-22 |
| 1093995136 | Adib Adnan Abla | Neurological Surgery | 4301 W Markham St # 507, Little Rock, AR 72205-7101 | 2007-11-06 |
| 1790964666 | Gary S Sapiro | Neurological Surgery | 2702 Nix Lake Dr, Jonesboro, AR 72404-0918 | 2007-10-29 |
| 1003018748 | Brad A Thomas | Neurological Surgery | 5 Saint Vincent Cir Ste 502, Little Rock, AR 72205-5412 | 2007-06-04 |
| 1972725232 | Hot Springs Neurosurgery Clinic, P.a. | Neurological Surgery | #1 Mercy Lane, Suite 502, Hot Springs, AR 71913-6462 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE.
| 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.