MEDICARE: STEVEN PROPST M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	11018919A	IN
2	207P00000X	Emergency Medicine Physician	2019008364	MO

General Provider Information

NPI Number	:	1134578933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN PROPST M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4046
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65808-4046
Country	:	US
Telephone Number	:	417-269-5712
Fax Number	:	417-269-7567

Provider Business Practice Location Address
First Line	:	3801 S NATIONAL AVE
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65807-5210
Country	:	US
Telephone Number	:	417-269-9812
Fax Number	:	417-269-9853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2016
Last Update Date	:	06/17/2026

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