Active NPI
Steven Dale Atwood, M. D.
- Specialist
- Springfield, MO
National Provider Identifier
1386643773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R1K19
- Practice address
- 3525 S National Ave
Ste 206
Springfield, MO 65807-7310 - Phone
- (417) 269-9200
- Fax
- (417) 269-9204
- NPI assigned
- Jul 18, 2005
- Last updated
- Nov 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R1K19 | MO | Primary |
Addresses
Primary practice location
3525 S National Ave
Ste 206
Springfield, MO 65807-7310
Mailing address
3525 S National Ave
Ste 206
Springfield, MO 65807-7310
Phone (417) 269-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202763058 | Medicaid | MO | |
| 18731 | Other | MO | BLUE CROSS BLUE SHIELD OF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Springfield, MO
- NPI 1568794477
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1386643773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 S NATIONAL AVE",
"address_2": "STE 206",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077310",
"telephone_number": "417-269-9200",
"fax_number": "417-269-9204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 S NATIONAL AVE",
"address_2": "STE 206",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077310",
"telephone_number": "417-269-9200",
"fax_number": "417-269-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWOOD",
"first_name": "STEVEN",
"middle_name": "DALE",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "R1K19",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202763058",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "18731",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Jennifer Atkins, PLPC
- Eric Loyal Atkinson, PA-C
- Attachment & Family Therapy Center, Inc (Attachment & Trauma Center of Missouri)
- Neva Ileen Atteberry, M.S., LPC, NCC
- Benjamin Louis Atwell Jr., MSW
- James Matthew Aubuschon, PTA
- Jamie L Audsley, PLMFT
- Krystal August, FNP-C
- Ashley Marie Aumiller, PHARMD
- Austen-Dooley Company
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.