David M Chisholm, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2023010485 Issued in MO

Practice address

3870 Columbia Ave
Osage Beach, MO 65065-8689

Phone

(573) 302-7490

Fax

(573) 302-7895

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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.

• Richland Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891931978

  MO

  Medicare reassignment Care Compare group
• Richland Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, MO
  • NPI 1245361344
  Care Compare group NPD (past)
• Richland Medical Center, Inc

  • Community/Retail Pharmacy
  • Camdenton, MO
  • NPI 1093604076
  Care Compare group
• Richland Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Crocker, MO
  • NPI 1568321107
  Care Compare group
• Richland Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Richland, MO
  • NPI 1679168306
  Care Compare group
• Richland Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Osage Beach, MO
  • NPI 1891680617
  Care Compare group
• Richland Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Camdenton, MO
  • NPI 1063985695
  Care Compare group
• Richland Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eldon, MO
  • NPI 1215436522
  Care Compare group
• Richland Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lake Ozark, MO
  • NPI 1710485024
  Care Compare group
• Richland Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Gravois Mills, MO
  • NPI 1881347086
  Care Compare group
• Lake Regional Health System

  • Rural Acute Care Hospital
  • Osage Beach, MO
  • NPI 1386619450
  NPD (past)

Specialty

Obstetrics/Gynecology

Education

Midwestern University College of Dental Medicine, Glendale, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richland Medical Center, Inc. 29 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 8, 2023.

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1366433419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "RICHLAND",
            "state": "MO",
            "postal_code": "655560777",
            "telephone_number": "573-708-7600",
            "fax_number": "573-723-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 COLUMBIA AVE",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650658689",
            "telephone_number": "573-302-7490",
            "fax_number": "573-302-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "4283",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2023010485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366433419",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951021",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelia Marie Cayou, NP
• Central Missouri Cardiovascular Associates, Inc.
• Kathleen Ann Champion, RDLD
• Jessica D Chaney, DPT
• Charles J. McMullin
• Joan M Citrin, D.C.
• City of Osage Beach
• Margaret Ann Clabough, PTA
• Clearview Outpatient Services Inc.
• Whitney L. Cline, DO

• All providers in Osage Beach, MO
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.