DAVID MATTHEW SMID (NPI# 1831268044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831268044 |
| Entity Type | Individual |
| Full Name | DAVID MATTHEW SMID |
| Credential | M.D. |
| Practice Address |
1000 E Primrose St Ste 550 Springfield MO 65807-5180 |
| Practice Telephone | 4172694647 |
| Mailing Telephone | 4172694647 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
R5G96 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | UNITED HEALTHCARE | 1140002 | 01 |
| MO | BLUE CROSS BLUE SHIELD-TR | 159012 | 01 |
| MO | FED TAX ID-PATHOLOGY SERV | 431451388 | 01 |
| MO | 705866705 | 05 | |
| MO | 700100407 | 05 | |
| MO | FED TAX ID-TRI-LAKES PATH | 421539307 | 01 |
| MO | BLUE CROSS BLUE SHIELD-PA | 1559 | 01 |
| Street Address |
1000 E PRIMROSE ST STE 550 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497824460 | Maryam Mohammadkhani | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-06 |
| 1306172341 | Lacey Marie Winchester | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2009-10-27 |
| 1598933491 | Kyle Noskoviak | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2008-02-13 |
| 1043389760 | James Mason Shelley Jr. | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-07 |
| 1437228152 | Paul William Koontz | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-07 |
| 1780753814 | Gregory Kent Haake | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-06 |
| 1730258708 | Shawn Barrett Jackson | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-06 |
| 1891864864 | Jami Rene Skrade | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801118385 | Springfield Group Inc | Pathology | 215 E Sunshine St Ste 1, Springfield, MO 65807-2652 | 2010-02-24 |
| 1497824460 | Maryam Mohammadkhani | Pathology | 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | 2006-11-06 |
| 1548373392 | Bruce Allen Marshall | Pathology | 101 N 1st St, Springfield, IL 62781-0001 | 2006-08-16 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1831202688 | Gregory Darrell Akers | Pathology | 701 North First St, Memorial Medical Center, Springfield, IL 62781-0002 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1801812078 | Oregon Urology Institute PC | Pathology | 2400 Hartman Ln Ste 200, Springfield, OR 97477-1122 | 2006-07-14 |
| 1174564587 | Associated Pathologists Ltd | Pathology | 800 E. Carpenter St., Springfield, IL 62769-0001 | 2006-06-08 |
| 1558324905 | Michael J Castro | Pathology | Memorial Medical Ctr, 701 North 1st Street, Springfield, IL 62781-0001 | 2006-04-07 |
| 1538571138 | Olga A Krasnozhen-ratush | Pathology | 759 Chestnut Street, Springfield, MA 01107-1619 | 2014-05-30 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.