Michael David Shoemaker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2002014469 Issued in MO

Practice address

1800 Community
Clinton, MO 64735

Phone

(844) 853-8937

NPI assigned

Oct 12, 2005

Last updated

Mar 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Osceola Rural Health Clinic LLC

  dba Morton/van Zanten Clinic

  • Family Medicine Physician
  • Osceola, MO
  • NPI 1023317104
  NPD (past)
• St. Clair County Hospital District #1

  dba Lake Area Primary Care Clinic

  • Rural Health Clinic/Center
  • Wheatland, MO
  • NPI 1386728798
  NPD (past)
• St. Clair County Hospital District #1

  dba Sac-Osage Hospital

  • Rural Acute Care Hospital
  • Osceola, MO
  • NPI 1588747554
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1639167687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 E. Hospital Road",
            "address_purpose": "LOCATION",
            "city": "El Dorado Springs",
            "state": "MO",
            "postal_code": "64744",
            "country_code": "US",
            "telephone_number": "417-876-5851",
            "fax_number": "417-876-5484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "MO",
            "postal_code": "647769547",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 E. Hospital Road",
            "address_purpose": "LOCATION",
            "city": "El Dorado Springs",
            "state": "MO",
            "postal_code": "64744",
            "country_code": "US",
            "telephone_number": "417-876-5851",
            "fax_number": "417-876-5484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002014469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209059716",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SERVICING PROVIDER#",
            "identifier": "33846021",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HC USA PROVIDER I.D.",
            "identifier": "51411",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Share and Care for Special People, Inc.
• Share and Care for Special People, Inc. (Share and Care - STRIVE)
• Brooke Shields, RBT
• Kimberly K. Shields, MS, CCC-SLP
• Linda Michelle Shoemaker, APRN
• Linda Silvey
• Carolyn Simpson, COTA
• McKenzie Simpson, RDH
• Hilary Sims, BCBA
• Willis Sims

• Family Medicine Physician in Clinton, MO
• Providers in Clinton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.