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Contact Information

JOHN C MACE, MD
3801 S NATIONAL AVE
WEST TOWER, SUITE 700
SPRINGFIELD, MO65807-5210
 Phone: 417-885-3888
 Fax: 417-881-7638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN C MACE · (Male)

NPI Number 1114971264
Status Active
Credentials MD
Entity Individual
Enumeration date 05/22/2006
Last updated 09/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E3602
  • MO License # 118061
  • AR Medicaid 139629001
  • MO Medicaid 203985700
  • AR Other 5M988 ARKANSAS BC/BS
  • AR Other 5M988 ARKANSAS FIRST SOURCE
  • AR Other 5M988 HEALTH ADVANTAGE
  • MO Other 119340 BLUE CROSS/CHOICE
  • MO Other 0156395001 CIGNA HEALTHCARE
  • MO Other 4188130001 CIGNA MEDICARE
  • MO Other 18942 COX HEALTH PLANS
  • MO Other 7623 COX HEALTH PLANS UPI
  • MO Other 412307 HEALTHLINK
  • MO Other 04040017000 QUAL CHOICE
  • MO Other 0602002 UNITED HEALTHCARE
  • MO Other G93208 USPS (W/C)
  • WA Other 0215049 DEPARTMENT OF LABOR WA
Hospital affiliation(s)
  • CITIZENS MEMORIAL HOSPITAL - (Acute Care)
    1500 N OAKLAND
    BOLIVAR, MO 65613
  • COX MEDICAL CENTER - (Acute Care)
    3801 SOUTH NATIONAL AVENUE
    SPRINGFIELD, MO 65807
  • SKAGGS REGIONAL MEDICAL CENTER - (Acute Care)
    525 BRANSON LANDING BLVD, PO BOX 650
    BRANSON, MO 65615
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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