MEDICARE: NEUROLOGICAL AND SPINE INSTITUTE OF THE OZARKS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1740422104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGICAL AND SPINE INSTITUTE OF THE OZARKS LLC

Provider Business Mailing Address
First Line	:	1423 N JEFFERSON AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65802-1917
Country	:	US
Telephone Number	:	417-885-3888
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 CAHILL RD STE 205
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-1911
Country	:	US
Telephone Number	:	417-885-3888
Fax Number	:	417-881-7268

Authorized Official
Title or Position	:	SVP-PRESIDENT SPRINGFIELD HOSP
Name	:	ASHLEY CASAD
Credential	:
Telephone Number	:	417-269-3102

Provider Enumeration Date	:	04/01/2009
Last Update Date	:	03/23/2023

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