Active NPI
Jeffrey K Smieshek, D.O.
- Emergency Medicine Physician
- Bolivar, MO
National Provider Identifier
1669545729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO106927
- Practice address
- 1500 N Oakland Ave
Bolivar, MO 65613-3011 - Phone
- (417) 326-6000
- NPI assigned
- Nov 16, 2006
- Last updated
- Apr 15, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO106927 | MO | Primary |
Addresses
Primary practice location
1500 N Oakland Ave
Bolivar, MO 65613-3011
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 326-6000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 100
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 85.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO106927 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Memorial Hospital District | Current | Accepting new patients | |
| Citizens Memorial Hospital District | Emergency Medicine | Current | Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
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.
-
- Emergency Medicine Physician
- Bolivar, MO
- NPI 1558548818
-
dba CMH Buffalo Community Pharmacy
- Community/Retail Pharmacy
- Buffalo, MO
- NPI 1427480995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1669545729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N OAKLAND AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133011",
"telephone_number": "417-326-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N OAKLAND AVE",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656133011",
"telephone_number": "417-326-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMIESHEK",
"first_name": "JEFFREY",
"middle_name": "K",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "DO106927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bolivar, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.