| Dr Matthew Lee Parke, DO | |
| 
					300 Portland St Ste 110, Columbia, MO 65201-7390  | |
| (573) 886-4608 | |
| Not Available | 
| Full Name | Dr Matthew Lee Parke | 
|---|---|
| Gender | Male | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | 300 Portland St Ste 110, Columbia, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275039216 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2024033210 (Missouri) | Primary | 
| Entity Name | Boyce & Bynum Pathology Professional Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1689634818 PECOS PAC ID: 0042384976 Enrollment ID: O20080811000335  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Matthew Lee Parke, DO Po Box 7406, Columbia, MO 65205-7406 Ph: (573) 886-4608  | Dr Matthew Lee Parke, DO 300 Portland St Ste 110, Columbia, MO 65201-7390 Ph: (573) 886-4608  | 
Thomas Bart Shaw, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Charles W Caldwell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1013 Marcassin Dr, Columbia, MO 65201 Phone: 573-442-8442  | |
Paul J Mcgowan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Fnu Sonam, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-3014  | |
Lester J. Layfield, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1201 Fax: 573-884-4612  | |
Grant Van Dyke Darkow, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  | |
Anna Venneman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 300 Portland St Ste 110, Columbia, MO 65201 Phone: 573-886-4600 Fax: 573-886-4695  |