| Lester E Cox Medical Centers | |
| 1530 E Republic Rd Springfield MO 65804-6530 | |
| (417) 269-1362 | |
| (417) 269-1372 | 
| Full Name | Lester E Cox Medical Centers | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1530 E Republic Rd, Springfield, Missouri | 
| Authorized Official Name and Position | Brock Shamel (VICE PRESIDENT) | 
| Authorized Official Contact | 4172694368 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lester E Cox Medical Centers Po Box 7411626 Chicago IL 60674-5626 Ph: (417) 730-6430 | Lester E Cox Medical Centers 1530 E Republic Rd Springfield MO 65804-6530 Ph: (417) 269-1362 | 
| NPI Number | 1508928623 | 
|---|---|
| Provider Enumeration Date | 12/14/2006 | 
| Last Update Date | 06/17/2025 | 
| Medicare PECOS PAC ID | 5799787784 | 
|---|---|
| Medicare Enrollment ID | O20070213000001 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508928623 | NPI | - | NPPES | 
| 507975704 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | William R Detten | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1033229935 PECOS PAC ID: 7416938261 Enrollment ID: I20040527000155 | 
| Provider Name | Hope E Misterovich | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1336288067 PECOS PAC ID: 0446280614 Enrollment ID: I20050817000434 | 
| Provider Name | Manuel Camejo | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1225016637 PECOS PAC ID: 3375559438 Enrollment ID: I20060227000401 | 
| Provider Name | Timothy L Jones | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1780784306 PECOS PAC ID: 6103828645 Enrollment ID: I20070213000010 | 
| Provider Name | Thuy H Dang | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376719674 PECOS PAC ID: 3870658305 Enrollment ID: I20090218000040 | 
| Provider Name | Steven E Newbold | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1447347729 PECOS PAC ID: 5092704338 Enrollment ID: I20100118000109 | 
| Provider Name | Levent Akduman | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1245344605 PECOS PAC ID: 2860529260 Enrollment ID: I20100415000881 | 
| Provider Name | Audrey M Williams | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1215118195 PECOS PAC ID: 5698809366 Enrollment ID: I20100817000604 | 
| Provider Name | Toni R Mcginnis | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1891057964 PECOS PAC ID: 9032365366 Enrollment ID: I20120802000048 | 
| Provider Name | Rachel M Archer | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1841558921 PECOS PAC ID: 3375846157 Enrollment ID: I20160729000635 | 
| Provider Name | Shara B Bryan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1609329598 PECOS PAC ID: 1355639741 Enrollment ID: I20161018002518 | 
| Provider Name | Emily Akridge | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659806578 PECOS PAC ID: 7517234271 Enrollment ID: I20170531000174 | 
| Provider Name | Jennifer Harp | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1679099576 PECOS PAC ID: 1951675768 Enrollment ID: I20170918002246 | 
| Provider Name | Lynette Foster | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1851818082 PECOS PAC ID: 8628314655 Enrollment ID: I20190114000825 | 
| Provider Name | Karissa A Merritt | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1386137313 PECOS PAC ID: 1355776881 Enrollment ID: I20200110001151 | 
| Provider Name | Marc D Carrigan | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1225295223 PECOS PAC ID: 1951456623 Enrollment ID: I20200930000670 | 
| Provider Name | Kristen Ruth Snyder-hernandez | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1477113504 PECOS PAC ID: 4587047733 Enrollment ID: I20220820000088 | 
| Provider Name | Nichole Norgard | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1780213181 PECOS PAC ID: 7618365396 Enrollment ID: I20230925002674 | 
| James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
| Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 S National Ave, #307, Springfield, MO 65807 Phone: 417-269-9220 Fax: 417-269-9229 | |
| Lester E. Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S National Ave, #600, Springfield, MO 65807 Phone: 417-269-1499 Fax: 417-269-1459 | |
| Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802 Phone: 417-269-3915 Fax: 417-269-3913 | |
| Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |
| Lester E Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 W Sunshine St, Springfield, MO 65807 Phone: 417-269-2240 Fax: 417-269-2245 | |
| Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802 Phone: 417-831-0150 Fax: 417-831-0155 |