| Mark Ross Smith, MD | |
|
2828 N National Ave, Springfield, MO 65803-4306 | |
| (417) 837-4000 | |
| (417) 875-4766 |
| Full Name | Mark Ross Smith |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2828 N 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 |
|---|---|---|---|
| 1568486850 | NPI | - | NPPES |
| 1568486850 | Medicaid | MO | |
| 204683742 | Medicaid | MO | |
| P00364219 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 112770 (Missouri) | Primary |
| 207Q00000X | Family Medicine | 112770 (Missouri) | Secondary |
| Entity Name | Citizens Memorial Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568566131 PECOS PAC ID: 4183528169 Enrollment ID: O20040315001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Ross Smith, MD 2828 N National Ave, Springfield, MO 65803-4306 Ph: (417) 837-4000 | Mark Ross Smith, MD 2828 N National Ave, Springfield, MO 65803-4306 Ph: (417) 837-4000 |
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 |