Dr Alan D Zablocki, MD | |
3801 S National Ave, Springfield, MO 65807-5210 | |
(417) 269-4550 | |
Not Available |
Full Name | Dr Alan D Zablocki |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3801 S National Ave, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265579668 | NPI | - | NPPES |
82534 | Other | AR | ARK BLUE SHIELD |
149468001 | Medicaid | AR | |
175118 | Other | MO | MO BLUE SHIELD |
208764902 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2003004988 (Missouri) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Dr Alan D Zablocki, MD 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 Ph: (417) 269-4550 | Dr Alan D Zablocki, MD 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-4550 |
Dr. Dawn E Zablocki, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Jeffrey Gunderson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550 | |
Dr. David M Delahay Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Dr. Claude Merrill Ashby, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-6863 | |
Dr. Youssef Y. Yassa, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Dr. Steven A Ellis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 | |
Kent Schaller, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-4550 |