DAVID SHOUP – Physician Assistant, NPI 1386795722
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAVID SHOUP
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 654739098
Phone: (573) 596-9602
Type: Location
1100, Highway 11, Gowensville, Landrum, Greenville County, South Carolina, 29356, United States
WEST PLAINS, MO 657751100
Phone:
Type: Mailing
1100, North Kentucky Avenue, West Plains, Howell County, Missouri, 65775, United States
WEST PLAINS, MO 657752029
Phone: (417) 256-9111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-09-09
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65473)
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