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Travis William Smoot

Radiology

Allopathic & Osteopathic Physicians

One Hospital Dr, Columbia, MO 65212-0001

PECOS Enrollment

This provider is enrolled in PECOS as TRAVIS SMOOT.

Based on the most recent information from CMS, provider Travis William Smoot is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1396230629
Provider Type
Individual
Full Name
Smoot, Travis William
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/28/2018
Last Updated
4/4/2023

Contact Information

Practice Location

One Hospital Dr, Columbia, MO 65212-0001

(573) 884-7770

(573) 882-9876

Mailing Location

PO Box 843966, Kansas City, MO 64184-3966

(573) 884-3300

(573) 884-0943

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2023010983 Missouri
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 2019018190 Missouri

Travis William Smoot

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Vaslow, Dale F

Kunin, Jeffrey R

Alqudah, Abdallah Ahmad Ali

Morrell, Joshua

Maqbool, Maaz Sohail

Koolwal, Juhi

Mazuru-Witten, Dana Gabriela

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