Provider Demographics
NPI:1801383898
Name:DAY, SHAMUEL MEYEROVICH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:SHAMUEL
Middle Name:MEYEROVICH
Last Name:DAY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:SHAMUEL
Other - Middle Name:MEYEROVICH
Other - Last Name:YAGUDAYEV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 W US HIGHWAY 60
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:MO
Mailing Address - Zip Code:65548-8542
Mailing Address - Country:US
Mailing Address - Phone:417-934-7044
Mailing Address - Fax:
Practice Address - Street 1:100 W US HIGHWAY 60
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:MO
Practice Address - Zip Code:65548-8542
Practice Address - Country:US
Practice Address - Phone:417-934-7044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-16
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP10041207Q00000X
MO2022025508207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty