David Sean Smith, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2000170263 Issued in MO

Practice address

2817 Saint Johns Blvd
Joplin, MO 64804-1563

Phone

(417) 625-2300

Fax

(417) 625-2005

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar County Memorial Hospital 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cedar County Memorial Hospital Hospital, El Dorado Springs, MO, CCN 261323

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.smith@directsbamh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cedar County Memorial Hospital

  • Critical Access Hospital
  • El Dorado Springs, MO
  • NPI 1619090404

  Emergency Medicine, MO

  Medicare reassignment Care Compare group NPD
• Cedar County Memorial Hospital

  • Critical Access Hospital
  • El Dorado Springs, MO
  • NPI 1720039605

  MO

  Medicare reassignment Care Compare group NPD
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817

  Family Medicine, MO

  Medicare reassignment NPD
• Mercy Hospital Carthage

  • Critical Access Hospital
  • Carthage, MO
  • NPI 1003201955

  Emergency Medicine, MO

  Medicare reassignment NPD
• Cedar County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • El Dorado Springs, MO
  • NPI 1457474249
  Care Compare group NPD (past)
• Cedar County Memorial Hospital

  • Rural Health Clinic/Center
  • El Dorado Springs, MO
  • NPI 1881608685
  Care Compare group
• Cedar County Memorial Hospital

  • Clinic/Center
  • El Dorado Springs, MO
  • NPI 1992827273
  Care Compare group
• Cedar County Memorial Hospital

  • Clinic/Center
  • Stockton, MO
  • NPI 1275656068
  NPD
• Labette County Medical Center

  • Rural Health Clinic/Center
  • Pittsburg, KS
  • NPI 1205524113
  NPD
• Labette County Medical Center

  • Family Medicine Physician
  • Parsons, KS
  • NPI 1336133362

  Family Medicine

  NPD
• Labette County Medical Center

  • Anesthesiology Physician
  • Parsons, KS
  • NPI 1811981293
  NPD
• Greater Joplin Area Emergency Medical Services System Inc

  • Land Ambulance
  • Joplin, MO
  • NPI 1922073519
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cedar County Memorial Hospital

  • Critical Access Hospital
  • El Dorado Springs, MO
  • NPI 1720039605

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1154363232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-625-2300",
            "fax_number": "417-625-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 SAINT JOHNS BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041563",
            "telephone_number": "417-625-2300",
            "fax_number": "417-625-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "SEAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2000170263",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2000170263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207790205",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100114210C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100395140D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smith Management Services, LLC
• Allison Smith, D.O.
• Brookelynn Mae Freed Smith, LCSW, MSW, BSW
• Carl Henry Smith, FNP-C, PMHNP-BC
• Chance Johnson Smith
• Debra S. Smith, CRNP
• Ian Smith, DO
• Jaisa J Smith
• Jenessa Breann Mallory Smith
• Jennifer Smith

• All providers in Joplin, MO
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.