Active NPI
Anne Amelia Smid, M.D.
- Diagnostic Radiology Physician
- Springfield, MO
National Provider Identifier
1902865702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R5H25
- Practice address
- 3850 S National Ave
Suite 300
Springfield, MO 65807-5287 - Phone
- (417) 269-6170
- Fax
- (417) 269-6992
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R5H25 | MO | Primary |
Addresses
Primary practice location
3850 S National Ave
Suite 300
Springfield, MO 65807-5287
Mailing address
PO Box 3262
Springfield, MO 65808-3262
Phone (417) 885-3888
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202568002 | Medicaid | MO | |
| 116200001 | Medicaid | AR | |
| P00807647 | Other | MO | MEDICARE RAILROAD |
| 1256 | Other | MO | BLUE |
| 300042828 | Other | RRR MEDICARE |
Other names 1
- Anne Amelia Padron
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5H25 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Litton & Giddings Radiological Associates PC | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- anne.smid@cernerdirect.coxhealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Springfield, MO
- NPI 1295790582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1902865702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3262",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658083262",
"telephone_number": "417-885-3888",
"fax_number": "417-881-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 S NATIONAL AVE",
"address_2": "SUITE 300",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075287",
"telephone_number": "417-269-6170",
"fax_number": "417-269-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMID",
"first_name": "ANNE",
"middle_name": "AMELIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R5H25",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202568002",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116200001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00807647",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE",
"identifier": "1256",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRR MEDICARE",
"identifier": "300042828",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "PADRON",
"middle_name": "AMELIA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.