SURGERY CENTER OF COLUMBIA LP (NPI# 1275545279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275545279 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF COLUMBIA LP |
| Practice Address |
305 N Keene St Ste 107 Columbia MO 65201-6897 |
| Practice Telephone | 5732566272 |
| Practice Fax Number | 5732566304 |
| Mailing Telephone | 5732566272 |
| Mailing Fax Number | 5732566304 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | JENETHA D MORAN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
149-1 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507492205 | 05 |
| Street Address |
305 N KEENE ST STE 107 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477547461 | Richard M. Wolkowitz | Anesthesiology | 305 N Keene St, Suite 105, Columbia, MO 65201-6897 | 2005-09-06 |
| 1609280189 | Veronica Conaway Sievert | Family Medicine | 305 N Keene St, Columbia, MO 65201-6897 | 2014-06-12 |
| 1659792695 | Jaime Basnett | Nurse Practitioner | 305 N Keene St, Suite 203, Columbia, MO 65201-6897 | 2013-12-18 |
| 1942562897 | Natalie Abert Long | Family Medicine | 305 N Keene St, Columbia, MO 65201-6897 | 2012-06-15 |
| 1871649020 | Jennings Eye Associates, P.C. | Optometrist | 305 N Keene St, Suite 205, Columbia, MO 65201-6897 | 2007-01-28 |
| 1417021536 | Karen P Johnson | Nurse Anesthetist, Certified Registered | 305 N Keene St, Boone Surgery, Suite #107, Columbia, MO 65201-6897 | 2006-11-20 |
| 1376614404 | David Michael Jennings Jr. | Optometrist | 305 N Keene St, Suite 205, Columbia, MO 65201-6897 | 2006-11-12 |
| 1386714194 | Columbia Podiatry, L.L.C. | Podiatrist | 305 N Keene St, Suite 209, Columbia, MO 65201-6623 | 2006-11-09 |
| 1093828584 | Columbia Interventional Pain Center LLP | Pain Medicine | 305 N Keene St, Suite #105, Columbia, MO 65201-6897 | 2006-08-17 |
| 1023121308 | Sonal Ashutosh Patil | Family Medicine | 305 N Keene St, Columbia, MO 65201-6897 | 2006-08-17 |
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| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871052712 | Kuresmart Pain Management Surgery Center-columbia LLC | Clinic/Center | 5500 Knoll North Dr Ste 501, Columbia, MD 21045-2370 | 2019-03-19 |
| 1720514359 | Johns Hopkins Surgery Centers Series | Clinic/Center | 5450 Knoll North Dr Ste 301, Columbia, MD 21045-2373 | 2017-05-02 |
| 1760860977 | Mid Missouri Surgery Center, LLC | Clinic/Center | 1410 Forum Katy Parkway, Suite 102, Columbia, MO 65203 | 2015-05-08 |
| 1457779399 | Csa Surgical Center LLC | Clinic/Center | 3220 Bluff Creek Dr Ste 104, Columbia, MO 65201-3664 | 2014-03-28 |
| 1780998633 | Parkridge Surgery Center LLC | Clinic/Center | 190 Parkridge Dr Ste 108, Columbia, SC 29212-1748 | 2010-08-03 |
| 1831360247 | Surgical Center At Columbia Orthopaedic Group LLC | Clinic/Center | 1 South Keene, Columbia, MO 65201-6645 | 2008-03-13 |
| 1649393695 | Columbia Md Orthopaedic Asc, LLC | Clinic/Center | 10700 Charter Dr #301, Columbia, MD 21044-4000 | 2007-04-06 |
| 1568510196 | Columbia Surgery Center Inc | Clinic/Center | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2007-01-08 |
| 1104851088 | Maryland Surgeons Center of Columbia | Clinic/Center | 11055 Little Patuxent Pky, Suite L-6, Columbia, MD 21044 | 2006-07-11 |
| 1801827993 | South Carolina Endoscopy Center - Northeast | Clinic/Center | 11 Gateway Corners Park, Columbia, SC 29203-8902 | 2006-07-06 |
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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.