SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE (NPI# 1902100498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902100498 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE |
| Other Organization Name | SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE |
| Practice Address |
1050 W 10th St Suite 580 Rolla MO 65401-2905 |
| Mailing Address |
1423 N Jefferson Ave Springfield MO 65802-1917 |
| Practice Telephone | 5734266239 |
| Mailing Telephone | 4178853888 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2015-08-26 |
| 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 |
| 1659675148 | Springfield Neurological and Spine Institute | Neurological Surgery | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2010-12-27 |
| Street Address |
1050 W 10TH ST SUITE 580 |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962570 | Donald James Mcmullin | Internal Medicine | 1050 W 10th St, Rolla, MO 65401 | 2005-06-16 |
| 1366066037 | Pcrmc Medical Group, Inc | Clinic/Center | 1050 W 10th St, Rolla, MO 65401-2905 | 2020-05-29 |
| 1659857415 | Josie Leann Eoff | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2018-07-16 |
| 1659893758 | Joshua Thomas Turnbaugh | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-07-10 |
| 1700327897 | Emily Wiseman | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-03-09 |
| 1487046181 | Pamela N. Gray | Physician Assistant | 1050 W 10th St, Rolla, MO 65401-2905 | 2015-03-04 |
| 1174928857 | Arezo Hesaraki | Dentist | 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 | 2014-10-23 |
| 1922416296 | Karen Ulrich | Advanced Practice Midwife | 1050 W 10th St, Rolla, MO 65401-2905 | 2014-07-30 |
| 1093142531 | Meredith Leigh Napierala | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-09-30 |
| 1528409638 | Curtis Morrison | Internal Medicine | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| 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 |
|---|---|---|---|---|
| 1932752243 | Regional Brain & Spine LLC | Neurological Surgery | 1617 East Malone, Sikeston, MO 63801-5021 | 2019-07-17 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1144571373 | O. Gerald Orth | Neurological Surgery | 2404 Beachview Dr, Columbia, MO 65203-1409 | 2012-09-27 |
| 1013273580 | Stephen J Johans | Neurological Surgery | 232 S Woods Mill Rd Ste 400, Chesterfield, MO 63017-3467 | 2012-04-09 |
| 1912276486 | Paul Edward Stohr | Neurological Surgery | 2 Kirken Knoll Dr, Saint Louis, MO 63131-2310 | 2011-12-29 |
| 1275801896 | George Emanuel Mendelsohn | Neurological Surgery | 24 Loren Woods, Saint Louis, MO 63124-1903 | 2011-12-09 |
| 1891080503 | Olatilewa O Awe | Neurological Surgery | 802 N Riverside Rd Ste 150, Saint Joseph, MO 64507-2508 | 2011-06-10 |
| 1770802076 | Aneela Darbar | Neurological Surgery | 3635 Vista Ave, Grand Blvd, Saint Louis, MO 63110-0250 | 2010-05-26 |
| 1114246543 | Yusef I Mosley | Neurological Surgery | 4320 Wornall Rd Ste 2000, Kansas City, MO 64111-5941 | 2010-05-25 |
| 1639495922 | Bartosz T Grobelny | Neurological Surgery | 4320 Wornall Rd Ste 710, Kansas City, MO 64111 | 2010-04-13 |
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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.