COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH – NPI #1679649529
Pediatrics

A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH is a provider located in SPRINGFIELD, MO. NPPES has assigned the NPI number 1679649529 to COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH on November 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH” is a dba name, the actual legal business name for this organization is REGIONAL SERVICES. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 2080P0008X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Neurodevelopmental Disabilities

The NPI profile was previously updated about 8 years ago on Jun 22, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH below.

NPI Profile for
REGIONAL SERVICES

NPI Number
1679649529
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REGIONAL SERVICES
Doing Business As (dba): COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH
Other name(s)
All associated names:
Doing Business As (dba)
COXHEALTH PEDIATRIC SPECIALTIES
Doing Business As (dba)
COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH
Primary location
1000 E PRIMROSE ST
SUITE 200
SPRINGFIELD, MO 65807
Phone: (417) 269-1010 Fax: (417) 269-6755
1 Other location(s):
3525 S National Ave Ste 210
Springfield, MO 65807-7315
Phone: (417) 269-1010
Fax: (417) 269-6755
Mailing address
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone: (417) 269-5712 Fax: (417) 269-7567
Organization Subpart
No
Authorized Official
MAX BUETOW
VICE PRESIDENT
Phone: (417) 631-0381
Updated
Identifiers

Identifiers for COXHEALTH PEDIATRIC SPECIALTIES MEDICAL SOUTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO500034004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0008X
- Pediatrics / Neurodevelopmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.