Active NPI
David M Schlossman, MD PHD
- Hematology & Oncology Physician
- Columbia, MO
National Provider Identifier
1790772234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- R2K73
- Practice address
- 1705 E Broadway
Suite 100
Columbia, MO 65201-5852 - Phone
- (573) 874-7800
- Fax
- (573) 443-3627
- NPI assigned
- Sep 30, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | R2K73 | MO | Primary |
Addresses
Primary practice location
1705 E Broadway
Suite 100
Columbia, MO 65201-5852
Mailing address
1705 E Broadway
Suite 100
Columbia, MO 65201-5852
Phone (573) 874-7800
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106081 | Other | MO | BCBS |
| 65201A012 | Other | TRICARE | |
| 5132415 | Other | AETNA | |
| 202739504 | Medicaid | MO | |
| 3604005 | Other | UNITED HEALTHCARE | |
| 394677 | Other | HEALTHLINK | |
| C86332 | Other | MERCY HEALTH PLANS | |
| 27361 | Other | GHP |
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, Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1790772234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 E BROADWAY",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015852",
"telephone_number": "573-874-7800",
"fax_number": "573-443-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 E BROADWAY",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652015852",
"telephone_number": "573-874-7800",
"fax_number": "573-443-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLOSSMAN",
"first_name": "DAVID",
"middle_name": "M",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MO",
"license": "R2K73",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "106081",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "65201A012",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5132415",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202739504",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3604005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "394677",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLANS",
"identifier": "C86332",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "27361",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.