MEDICARE: DONNA L ALMOND D.O.

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	2085R0202X	Diagnostic Radiology Physician	R4C08	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	300117569	OTHER	MO	RAILROAD MEDICARE
4	949510001	OTHER	MO	WPS MEDICARE - MAC J5 PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	222143	OTHER		HEALTHLINK INC.
6	655009	OTHER		FIRST HEALTH
7	130569	OTHER	MO	BCBS OF MO
8	1600702	OTHER		UNITED HEALTHCARE

General Provider Information

NPI Number	:	1932186004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA L ALMOND D.O.

Provider Business Mailing Address
First Line	:	PO BOX 459
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63902-0459
Country	:	US
Telephone Number	:	573-222-7441
Fax Number	:	573-222-7441

Provider Business Practice Location Address
First Line	:	221 PHYSICIANS PARK
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-3956
Country	:	US
Telephone Number	:	573-727-9080
Fax Number	:

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	09/09/2009

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Directions to “ DONNA L ALMOND D.O.” Practice Location

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