John Charles Mace
Neurosurgeon
3801 S National Ave West Tower, Suite 700
Springfield
, Missouri 65807-5210
John Charles Mace
Neurosurgeon
3801 S National Ave West Tower, Suite 700
Springfield
, Missouri 65807-5210
(417) 881-7638
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- John Charles Mace
- Po Box 9434
- Springfield, MO
- Zip : 65801-9434
- Fax : (417) 881-7638
- Phone : (417) 885-3888
Second Address
- John Charles Mace
- 3801 S National Ave West Tower, Suite 700
- Springfield, MO
- Zip : 65807-5210
- Fax : (417) 881-7638
- Phone : (417) 885-3888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 118061 | MO |
| N | 207T00000X | Neurosurgeon | E3602 | AR |
National Provider Identifier
| NPI | 1114971264 |
|---|---|
| Provider Name | John Charles Mace |
| First Address | Springfield, MO 65801-9434 |
| Second Address | Springfield, MO 65807-5210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2006 |
| Last Update Date | 30/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0156395001 | CIGNA HEALTHCARE (01) | MO |
| 0215049 | DEPARTMENT OF LABOR WA (01) | WA |
| 04040017000 | QUAL CHOICE (01) | MO |
| 0602002 | UNITED HEALTHCARE (01) | MO |
| 119340 | BLUE CROSS/CHOICE (01) | MO |
| 139629001 | (05) | AR |
| 18942 | COX HEALTH PLANS (01) | MO |
| 203985700 | (05) | MO |
| 412307 | HEALTHLINK (01) | MO |
| 4188130001 | CIGNA MEDICARE (01) | MO |
| 5M988 | ARKANSAS BC/BS (01) | AR |
| 5M988 | ARKANSAS FIRST SOURCE (01) | AR |
| 5M988 | HEALTH ADVANTAGE (01) | AR |
| 7623 | COX HEALTH PLANS UPI (01) | MO |
| G93208 | (02) | MO |
| G93208 | USPS (W/C) (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.