Douglas D Smith, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R9H22 Issued in MO

Practice address

206 N Bismark St
Suite a
Concordia, MO 64020-8180

Phone

(660) 463-0234

Fax

(660) 463-0266

NPI assigned

Apr 25, 2006

Last updated

Oct 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

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.

Enrollment records 1

Specialty

Internal Medicine

Education

Saint Louis University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Macon County Samaritan Memorial Hospital Hospital, Macon, MO, CCN 261313

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Medicare reassignment Care Compare group NPD
• Ringgold County Hospital

  dba Mount Ayr Medical Clinic

  • Rural Health Clinic/Center
  • Mount Ayr, IA
  • NPI 1154720878
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Macon County Samaritan Hospital

  • Critical Access Hospital
  • Macon, MO
  • NPI 1548215106
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1891751129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 STRAWBERRY HILL RD",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640765399",
            "telephone_number": "816-633-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N BISMARK ST",
            "address_2": "SUITE A",
            "city": "CONCORDIA",
            "state": "MO",
            "postal_code": "640208180",
            "telephone_number": "660-463-0234",
            "fax_number": "660-463-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9H22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14109027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14109077",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010568509",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14109017",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202545364",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540568508",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "595956103",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "599225901",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry L. Meyer, M.D.
• Raymond Scott Nold, PTA
• Physical Therapy of Concordia Inc
• Daniel Rehmsmeyer RRT, RRT
• Linnie Jane Shafer
• Morgan Toensing, DPT
• Jami Vandevort, RDH
• Warrensburg Optical Inc (Insight Eyecare)
• Waterfall Chiropractic LLC
• Western Missouri Medical Center (Western Missouri Family Healthcare - Concordia)

• Family Medicine Physician in Concordia, MO
• Providers in Concordia, 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 Oct 12, 2016; 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.