STEVEN DALE ATWOOD M. D. NPI 1386643773

NPI Information

NPI: 1386643773
Provider Name: STEVEN DALE ATWOOD, M. D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3525 S NATIONAL AVE
STE 206
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-9200
Get Directions

Steven Dale Atwood, M. D. is a specialist in Springfield, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Steven Dale Atwood, M. D. NPI is 1386643773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3525 S NATIONAL AVE
STE 206
SPRINGFIELD, MO
ZIP 65807-310
Phone: (417) 269-9200
Fax: (417) 269-9204

The NPI 1386643773 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 11/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		R1K19	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202763058	MEDICAID	MISSOURI
2	18731	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD OF
3	000094991	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI
4	43-1569320	OTHER		TAX ID NUMBER
5	D34351	MEDICARE UPIN	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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