| David Matthew Smid, MD | |
|
1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | |
| (417) 269-4647 | |
| Not Available |
| Full Name | David Matthew Smid |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1000 E Primrose St Ste 550, 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 |
|---|---|---|---|
| 1831268044 | NPI | - | NPPES |
| 1140002 | Other | MO | UNITED HEALTHCARE |
| 1559 | Other | MO | BLUE CROSS BLUE SHIELD-PA |
| 700100407 | Medicaid | MO | |
| 431451388 | Other | MO | FED TAX ID-PATHOLOGY SERV |
| 705866705 | Medicaid | MO | |
| 159012 | Other | MO | BLUE CROSS BLUE SHIELD-TR |
| 421539307 | Other | MO | FED TAX ID-TRI-LAKES PATH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | R5G96 (Missouri) | Primary |
| Entity Name | Pathology Services Of Springfield Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801935879 PECOS PAC ID: 2062308133 Enrollment ID: O20040225000699 |
| Mailing Address | Practice Location Address |
|---|---|
| David Matthew Smid, MD 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 Ph: (417) 269-4647 | David Matthew Smid, MD 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 Ph: (417) 269-4647 |
James Mason Shelley Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4647 Fax: 417-269-8078 | |
Mary Kay Vaske, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Pathology, Springfield, MO 65804 Phone: 417-820-6850 Fax: 417-820-7790 | |
Dr. Steven E. Collum, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 Fax: 417-820-7790 | |
Ms. Cassie Lee Booth, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Jason Singh, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Geoffrey Glenn Herndon, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4646 | |
Jon D Lorenzino, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 607 W Battlefield St, Springfield, MO 65807 Phone: 417-869-2000 Fax: 417-881-1850 |