| Coxhealth Pain And Neurology | |
|
121 Cahill Rd Suite 204 Branson MO 65616-1911 | |
| (417) 335-7222 | |
| (417) 335-7224 |
| Full Name | Coxhealth Pain And Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 121 Cahill Rd, Branson, Missouri |
| Authorized Official Name and Position | William K Mahoney (CEO) |
| Authorized Official Contact | 4173357270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coxhealth Pain And Neurology Po Box 802843 Kansas City MO 64180-2843 Ph: (417) 730-6430 | Coxhealth Pain And Neurology 121 Cahill Rd Suite 204 Branson MO 65616-1911 Ph: (417) 335-7222 |
| NPI Number | 1417992793 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 5092624320 |
|---|---|
| Medicare Enrollment ID | O20041204000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417992793 | NPI | - | NPPES |
| 507203008 | Medicaid | MO | |
| CI2096 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 52-48 (Missouri) | Primary |
| Provider Name | Sudhir Batchu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871698662 PECOS PAC ID: 5799729570 Enrollment ID: I20050630000220 |
| Provider Name | Diane L Cornelison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568406791 PECOS PAC ID: 7517015563 Enrollment ID: I20100921000823 |
| Provider Name | Sabera Shabnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144482175 PECOS PAC ID: 2567635873 Enrollment ID: I20120514000104 |
| Provider Name | Ashden M Vogler-blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548705189 PECOS PAC ID: 2365723061 Enrollment ID: I20170111000471 |
| Provider Name | Clairese Webb |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1700290574 PECOS PAC ID: 4082947551 Enrollment ID: I20190617000074 |
| Provider Name | David James Haustein |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003922873 PECOS PAC ID: 8022298546 Enrollment ID: I20210104000386 |
| Provider Name | Azalie Armknecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629785506 PECOS PAC ID: 5597133629 Enrollment ID: I20221122000850 |
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