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NPI Code Detail

MEDICARE: MR. DREW D SHOEMAKER M.D.

MEDICARE: MR. DREW D SHOEMAKER 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
1207Q00000XFamily Medicine Physician108125MO
22083A0300XAddiction Medicine (Preventive Medicine) Physician108125MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1105794OTHERMOBCBS OF MO #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851313399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DREW D SHOEMAKER M.D.
Provider Business Mailing Address
First Line : PO BOX 844715
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-4715
Country : US
Telephone Number : 417-761-5214
Fax Number : 417-761-5065
Provider Business Practice Location Address
First Line : 800 S PARK AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-4855
Country : US
Telephone Number : 417-893-7700
Fax Number : 660-882-6093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 11/17/2025

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