| Dr David Lee Matlock, MD | |
|
1235 E Cherokee St, Springfield, MO 65804-2203 | |
| (417) 820-2115 | |
| (417) 820-5344 |
| Full Name | Dr David Lee Matlock |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1235 E Cherokee St, 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 |
|---|---|---|---|
| 1356543706 | NPI | - | NPPES |
| 440552485 | Other | MO | TRICARE |
| 1356543706 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125-051081 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 2011032953 (Missouri) | Primary |
| Entity Name | Mercy Hospital Springfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242159 PECOS PAC ID: 7416867593 Enrollment ID: O20050118000038 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Lee Matlock, MD Po Box 504274, Saint Louis, MO 63150-4274 Ph: (417) 820-6128 | Dr David Lee Matlock, MD 1235 E Cherokee St, Springfield, MO 65804-2203 Ph: (417) 820-2115 |
Janel M Ochse, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
Gregory J Kutter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6583 Fax: 417-269-6573 | |
Douglas Scott Ham, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-6583 Fax: 417-269-6573 | |
Daryl Thomas Steen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 | |
Dr. David Darmsteadter, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2115 | |
Jeremy O'shea, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 Fax: 417-269-6573 | |
Dr. Jacob Lee Spain, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2000 |