| Jamesy Charles Smith, DO | |
|
1103 W Liberty St, Farmington, MO 63640-1921 | |
| (573) 756-6751 | |
| (573) 756-6807 |
| Full Name | Jamesy Charles Smith |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1103 W Liberty St, Farmington, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053632935 | NPI | - | NPPES |
| 995324600 | Other | MO | BNDD |
| 2009018166 | Other | MO | PHYSICIAN LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 2009018166 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | 2009018166 (Missouri) | Primary |
| Entity Name | State Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437106705 PECOS PAC ID: 1456254226 Enrollment ID: O20040218001002 |
| Entity Name | Parkland Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922016112 PECOS PAC ID: 1951219237 Enrollment ID: O20050224000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamesy Charles Smith, DO 670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573 Ph: (573) 756-6751 | Jamesy Charles Smith, DO 1103 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 756-6751 |
Samantha Dawn Warden, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-756-9597 | |
Dr. James N Moore, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 618 Maple Valley Dr Ste B, Farmington, MO 63640 Phone: 573-756-3400 Fax: 573-756-0800 | |
Danielle Nicole Andrews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-756-9597 | |
Dr. Paul S Moniz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 555 W Pine St Ste 300, Farmington, MO 63640 Phone: 573-747-1510 Fax: 573-747-1512 | |
Dr. Karl D Killion, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-756-9597 | |
Dwayne Nathan Damba, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1212 Weber Rd, Farmington, MO 63640 Phone: 573-701-7215 Fax: 573-701-7117 | |
Dr. Dennis E Sumski, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 Maple Valley Dr, Farmington, MO 63640 Phone: 573-760-7920 Fax: 573-756-9597 |