Physician Compare National (NPI:1417342031)

HEALTHCARE PROVIDER: ALLISON SMITH D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1417342031
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901102714
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161004000502
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SMITH
	Individual professional last name
Provider First Name	ALLISON
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	2014
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	OZARK CENTER
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4789588088
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	33
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	305 S VIRGINIA AVE
	Group Practice or individual's line 1 address
City	JOPLIN
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	648012323
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4173477730
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	260137
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FREEMAN HEALTH SYSTEM-FREEMAN WEST
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260065
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERCY HOSPITAL SPRINGFIELD
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y