MISSOURI EAR NOSE AND THROAT CENTER (NPI# 1033319140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033319140 |
| Entity Type | Organization |
| Organization Name | MISSOURI EAR NOSE AND THROAT CENTER |
| Practice Address |
3401 Berrywood Dr Suite 201 Columbia MO 65201-6515 |
| Practice Telephone | 5738150662 |
| Practice Fax Number | 5734431162 |
| Mailing Telephone | 5738150662 |
| Mailing Fax Number | 5734431162 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | DR. WILLIAM CHARLES KINNEY SR. (MEMBER) |
| Authorized Official Telephone | 5738080492 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083886972 | Missouri Ear Nose and Throat Center | Otolaryngology | 515 E Promenade St, Mexico, MO 65265-2966 | 2008-03-31 |
| Street Address |
3401 BERRYWOOD DR SUITE 201 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346696572 | Burrell, Inc. | Pharmacy | 3401 Berrywood Dr, Suite 102, Columbia, MO 65201-6515 | 2016-05-06 |
| 1588985162 | Jessica Rachel Lindemann | Counselor | 3401 Berrywood Dr, Columbia, MO 65201 | 2010-06-17 |
| 1205067634 | Anna Irene White | Counselor | 3401 Berrywood Dr, Suite 300, Columbia, MO 65201-6515 | 2009-08-03 |
| 1528232733 | Judith Payne Dueker | Social Worker | 3401 Berrywood Dr, Suite 204, Columbia, MO 65201-6515 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811224967 | Maryland Ivf Health & Wellness Center | Clinic/Center | 9250 Bendix Road North, Columbia, MD 21045-1832 | 2009-11-11 |
| 1265486807 | The Robert M. Lombard Hyperbaric Oxygenation Medical Center | Clinic/Center | 255 N 6th St, Columbia, PA 17512-2107 | 2006-05-19 |
| 1558320275 | Palmetto Pediatric Gastroenterology | Clinic/Center | 2113 Adams Grv, Suite 200, Columbia, SC 29203-7102 | 2006-03-21 |
| 1639524432 | Hammett Clinic, Pa | Clinic/Center | 3710 Landmark Dr, Suite 114, Columbia, SC 29204-4062 | 2016-04-29 |
| 1417317264 | Thomas J Carzoli Md Pa | Clinic/Center | 1301 Taylor St, Suite 5k, Columbia, SC 29201-2942 | 2016-03-07 |
| 1932575313 | Marion County Internal Medicine Clinic | Clinic/Center | 104 Partnership Way, Columbia, MS 39429-4502 | 2015-08-19 |
| 1417356437 | Christina P Lynn, Md | Clinic/Center | 3612 Landmark Dr, Columbia, SC 29204-4039 | 2014-08-14 |
| 1154607430 | Allergy and Asthma Educational Specialists, LLC | Clinic/Center | 1601 E Broadway, Ste 250, Columbia, MO 65201-8020 | 2011-10-31 |
| 1215186465 | Gebreye W. Rufael, M.d, Pa | Clinic/Center | 10840 Little Patuxent Pkwy, 302, Columbia, MD 21044-3115 | 2008-09-11 |
| 1053585661 | Patricia M. Sullivan, Md, LLC | Clinic/Center | 10796 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2008-04-15 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.