Geoffrey Glenn Herndon, DO | |
1000 E Primrose St Ste 550, Springfield, MO 65807-5180 | |
(417) 269-4646 | |
Not Available |
Full Name | Geoffrey Glenn Herndon |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1000 E Primrose St Ste 550, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225590938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2024006277 (Missouri) | Primary |
Entity Name | Pathology Services Of Springfield Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801935879 PECOS PAC ID: 2062308133 Enrollment ID: O20040225000699 |
Mailing Address | Practice Location Address |
---|---|
Geoffrey Glenn Herndon, DO Po Box 239, Lima, OH 45802-0239 Ph: (877) 221-2742 | Geoffrey Glenn Herndon, DO 1000 E Primrose St Ste 550, Springfield, MO 65807-5180 Ph: (417) 269-4646 |
James Mason Shelley Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4647 Fax: 417-269-8078 | |
Mary Kay Vaske, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Pathology, Springfield, MO 65804 Phone: 417-820-6850 Fax: 417-820-7790 | |
Dr. Steven E. Collum, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 Fax: 417-820-7790 | |
Ms. Cassie Lee Booth, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2961 | |
Jon D Lorenzino, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 607 W Battlefield St, Springfield, MO 65807 Phone: 417-869-2000 Fax: 417-881-1850 | |
Dr. Lacey Marie Winchester, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 550, Springfield, MO 65807 Phone: 417-269-4646 |