Active NPI 1538251889 Individual Practitioner Male Practitioner

Dr. Mark J Milne , MD

Urology • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Milne, MD is a certified Urology practicing in Springfield, MO. With approximately 34 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1992, Dr. Milne delivers high-quality medical care to the local community at 1001 E PRIMROSE ST.

Dr. Milne is affiliated with Lester E Cox Medical Centers and accepts Medicare assignment.

Frequently performed procedures and clinical services include manual urinalysis test with examination using microscope, automated, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 E Primrose St

Springfield, MO 658075155

Telephone 4178753000

Associated Practice Facility / Clinic

🏢 Ferrell Duncan Clinic, Inc Facility NPI 1326099383

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Springfield, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +5.4 yrs vs City Avg

City Avg: 28.6 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

18 Specialists

Practicing in Springfield, MO (282 Statewide)

Telehealth Adoption Rate

5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Milne (34 Years) 34 Yrs

Springfield Specialty Average (28.6 Years) 28.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	783	472	$15.89	$3.11
99213 Established patient office or other outpatient visit, typically 15 minutes	489	368	$199.31	$83.48
36415 Insertion of needle into vein for collection of blood sample	354	253	$14.40	$8.65
84153 Psa (prostate specific antigen) measurement, total	269	178	$91.81	$18.02
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	234	207	$52.80	$15.48
51798 Ultrasound measurement of bladder capacity after voiding	209	158	$70.38	$9.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	146	$300.37	$118.17
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	14	$814.00	$177.87
74018 X-ray of abdomen, 1 view	104	81	$61.03	$18.37
52000 Diagnostic exam of bladder and urethra using an endoscope	81	55	$702.93	$209.49
84154 Psa (prostate specific antigen) measurement, free	64	51	$92.01	$18.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	30	$101.71	$46.41
G0103 Prostate cancer screening; prostate specific antigen test (psa)	58	58	$92.00	$18.92
87086 Bacterial colony count, urine	46	35	$38.40	$7.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$297.41	$102.71
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	14	$100.04	$30.89
99221 Initial hospital inpatient care per day, typically 30 minutes	18	16	$253.70	$77.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$464.83	$147.10
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	11	$38.67	$7.61
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1388.40	$384.74
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	13	$666.23	$126.90
80048 Blood test, basic group of blood chemicals (calcium, total)	13	11	$41.97	$8.29
80053 Blood test, comprehensive group of blood chemicals	13	12	$52.21	$10.35
74420 Imaging of urinary tract	12	11	$76.50	$22.70
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2839.72	$679.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	785	460	$15.60	$3.11
99213 Established patient office or other outpatient visit, typically 15 minutes	389	313	$174.16	$83.83
36415 Insertion of needle into vein for collection of blood sample	319	227	$14.40	$8.40
84153 Psa (prostate specific antigen) measurement, total	266	175	$88.80	$18.02
51798 Ultrasound measurement of bladder capacity after voiding	172	129	$68.40	$9.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	137	$259.74	$119.17
74018 X-ray of abdomen, 1 view	122	81	$60.83	$18.51
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	105	12	$814.00	$169.22
52000 Diagnostic exam of bladder and urethra using an endoscope	76	56	$681.60	$213.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	22	$87.60	$47.50
84154 Psa (prostate specific antigen) measurement, free	59	44	$88.80	$18.02
G0103 Prostate cancer screening; prostate specific antigen test (psa)	53	53	$88.80	$18.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$265.12	$104.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	20	$722.21	$130.44
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	21	21	$2757.60	$686.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$396.01	$155.84
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	18	12	$96.00	$30.16
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	15	$1388.40	$390.49
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$212.40	$79.31
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$990.00	$290.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	722	440	$15.58	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	413	330	$142.80	$83.77
36415 Insertion of needle into vein for collection of blood sample	328	233	$14.36	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	313	225	$216.00	$119.08
84153 Psa (prostate specific antigen) measurement, total	291	195	$88.80	$18.17
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	131	17	$814.00	$174.62
74018 X-ray of abdomen, 1 view	102	79	$57.60	$18.50
52000 Diagnostic exam of bladder and urethra using an endoscope	83	57	$681.60	$220.94
84154 Psa (prostate specific antigen) measurement, free	65	45	$88.80	$18.16
G0103 Prostate cancer screening; prostate specific antigen test (psa)	46	46	$86.87	$18.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$332.40	$155.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	15	$87.60	$36.61
51798 Ultrasound measurement of bladder capacity after voiding	38	35	$68.40	$9.01
52332 Insertion of stent in urinary duct (ureter) using an endoscope	31	27	$615.95	$141.05
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	17	$96.00	$29.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	21	12	$37.20	$7.66
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	16	$1487.57	$419.28
51700 Simple bladder irrigation and/or instillation	19	14	$280.80	$69.72
80048 Blood test, basic group of blood chemicals (calcium, total)	16	12	$40.80	$8.37
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$990.00	$276.95
55700 Biopsy of prostate gland	14	14	$748.80	$223.77
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$506.57	$50.25
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	13	13	$2757.60	$684.45
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	11	11	$1314.76	$259.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	774	454	$13.00	$3.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	270	$180.00	$120.49
99213 Established patient office or other outpatient visit, typically 15 minutes	375	302	$119.00	$85.11
36415 Insertion of needle into vein for collection of blood sample	370	253	$12.00	$3.00
84153 Psa (prostate specific antigen) measurement, total	324	208	$74.00	$18.37
52000 Diagnostic exam of bladder and urethra using an endoscope	102	71	$568.00	$213.19
74018 X-ray of abdomen, 1 view	89	66	$48.00	$17.97
84154 Psa (prostate specific antigen) measurement, free	77	56	$74.00	$18.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	18	$73.00	$36.58
51798 Ultrasound measurement of bladder capacity after voiding	54	49	$57.00	$8.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$277.00	$157.45
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	40	11	$229.00	$49.40
G0103 Prostate cancer screening; prostate specific antigen test (psa)	39	39	$74.00	$19.31
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	21	$536.71	$147.86
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	22	11	$31.00	$7.77
51700 Simple bladder irrigation and/or instillation	20	19	$234.00	$71.99
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$177.00	$95.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	11	$55.00	$13.06
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	11	11	$659.00	$194.02
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2298.00	$697.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	750	453	$13.00	$3.15
99213 Established patient office or other outpatient visit, typically 15 minutes	636	443	$119.00	$70.13
36415 Insertion of needle into vein for collection of blood sample	351	236	$12.00	$2.98
84153 Psa (prostate specific antigen) measurement, total	289	193	$74.00	$18.27
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	144	20	$814.00	$218.41
52000 Diagnostic exam of bladder and urethra using an endoscope	122	94	$568.00	$191.62
84154 Psa (prostate specific antigen) measurement, free	80	56	$74.00	$18.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	66	$72.00	$41.52
74018 X-ray of abdomen, 1 view	74	61	$48.00	$17.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$180.88	$98.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	47	$180.00	$102.20
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	47	17	$229.00	$50.32
51798 Ultrasound measurement of bladder capacity after voiding	44	39	$57.00	$8.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	12	$73.00	$38.09
G0103 Prostate cancer screening; prostate specific antigen test (psa)	29	29	$74.00	$19.18
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	17	$578.00	$150.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	15	$55.00	$13.22
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	19	12	$1185.89	$275.89
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	18	18	$659.00	$203.77
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	16	15	$96.00	$28.55
51700 Simple bladder irrigation and/or instillation	13	13	$234.00	$68.96
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$177.00	$98.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	854	523	$13.00	$3.44
99213 Established patient office or other outpatient visit, typically 15 minutes	729	497	$119.00	$69.78
36415 Insertion of needle into vein for collection of blood sample	368	274	$12.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	295	209	$74.00	$20.00
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	165	22	$814.00	$224.71
52000 Diagnostic exam of bladder and urethra using an endoscope	119	83	$568.00	$174.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	84	$72.00	$41.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	35	$73.00	$38.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$179.74	$102.37
84154 Psa (prostate specific antigen) measurement, free	67	52	$74.00	$20.03
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	57	15	$229.00	$60.85
G0103 Prostate cancer screening; prostate specific antigen test (psa)	45	45	$74.00	$20.03
87086 Bacterial colony count, urine	41	39	$28.00	$8.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$180.00	$102.89
51798 Ultrasound measurement of bladder capacity after voiding	32	27	$57.00	$11.22
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	24	$513.04	$144.01
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	28	26	$35.00	$9.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	17	$55.00	$15.47
87077 Bacterial culture for aerobic isolates	24	11	$32.00	$8.79
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$177.00	$99.13
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	21	19	$1097.90	$254.57
74420 Imaging of urinary tract	20	18	$51.00	$25.33
51700 Simple bladder irrigation and/or instillation	19	14	$234.00	$69.05
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	19	15	$96.00	$27.99
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	18	$1221.28	$390.37
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	15	15	$659.00	$227.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	863	489	$13.00	$3.83
99213 Established patient office or other outpatient visit, typically 15 minutes	761	482	$119.00	$67.88
36415 Insertion of needle into vein for collection of blood sample	327	221	$12.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	287	190	$74.00	$22.22
52000 Diagnostic exam of bladder and urethra using an endoscope	132	91	$568.00	$152.56
87086 Bacterial colony count, urine	123	75	$28.00	$9.76
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	110	20	$814.00	$217.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$179.63	$100.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	72	$180.00	$100.13
84154 Psa (prostate specific antigen) measurement, free	81	59	$74.00	$22.26
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	80	43	$35.00	$10.46
74018 X-ray of abdomen, 1 view	74	54	$48.00	$15.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	30	$72.00	$40.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	16	$55.00	$18.61
87077 Bacterial culture for aerobic isolates	35	19	$32.00	$9.77
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	29	19	$96.00	$27.58
51798 Ultrasound measurement of bladder capacity after voiding	27	27	$57.00	$13.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	12	$73.00	$37.89
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$177.00	$97.93
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$481.00	$143.51
51700 Simple bladder irrigation and/or instillation	16	15	$234.00	$67.76
74420 Imaging of urinary tract	15	14	$51.00	$17.08
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$74.00	$22.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$277.00	$155.14
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2298.00	$711.49
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$477.00	$55.41
55700 Biopsy of prostate gland	12	12	$624.00	$231.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	733	448	$13.00	$4.24
99213 Established patient office or other outpatient visit, typically 15 minutes	688	461	$119.00	$67.24
36415 Insertion of needle into vein for collection of blood sample	321	209	$12.00	$2.93
84153 Psa (prostate specific antigen) measurement, total	269	176	$74.00	$24.67
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	156	20	$814.00	$206.03
52000 Diagnostic exam of bladder and urethra using an endoscope	105	69	$568.00	$150.10
74000 X-ray of abdomen, single view	100	72	$39.72	$12.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$179.00	$100.17
87086 Bacterial colony count, urine	91	61	$28.00	$9.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	56	$72.00	$39.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	59	$180.00	$99.82
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	58	36	$35.00	$11.62
84154 Psa (prostate specific antigen) measurement, free	55	42	$74.00	$24.73
87077 Bacterial culture for aerobic isolates	54	22	$32.00	$10.86
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	21	$96.00	$28.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	15	$73.00	$37.66
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$177.00	$97.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	18	$475.15	$132.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$277.00	$153.21
74420 Imaging of urinary tract	18	16	$51.00	$16.98
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$74.00	$24.73
51798 Ultrasound measurement of bladder capacity after voiding	15	14	$57.00	$16.75
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2298.00	$822.90
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	13	$1157.00	$402.99
52352 Removal or manipulation of stone in ureter or kidney using an endoscope	12	12	$1091.67	$268.74
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$825.00	$225.69

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MO 17653

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1538251889 (MO)

Medicaid State Provider ID

208654400 (MO)

Commercial Insurance / Payer ID Blue Cross Mo

107723

Hospital & Practice Group Affiliations

Lester E Cox Medical Centers

1001 E Primrose, Springfield, MO 658075155

Phone: 4178753000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Meredith Mcamis , PA-C

Physician Assistant

NPI 1003094251

Physician Assistant (Certified)

Dr. David Gilley , MD

Otolaryngology

NPI 1003336843

Doctor of Medicine (M.D.)

Cassondra Simmoneau , NP

Nurse Practitioner

NPI 1003440215

Nurse Practitioner

Dr. Robert Scanlon , DO

Urology

NPI 1013915792

Doctor of Osteopathic Medicine (D.O.)

Dr. Bradley Wiley , MD

Internal Medicine

NPI 1013950070

Doctor of Medicine (M.D.)

Shelly Ronayne , NP

Nurse Practitioner

NPI 1023388220

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2014

Registered at 1001 E PRIMROSE ST, SPRINGFIELD, MO 658075155 (Tel: 4178753000)

📍

Updated Business Mailing Address July 08, 2014

Registered at PO BOX 9007, SPRINGFIELD, MO 658089007 (Tel: 4178753000)

👤

Provider Name / Credentials Updated July 08, 2014

Recorded as MARK MILNE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2014

Urology (License #17653 in MO)

🟢

Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1538251889

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 28, 2006

Last Update: July 08, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9007

Springfield, MO 658089007

Phone: 4178753000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.