Active NPI
Sara E. Crowder, MD
- Specialist
- Columbia, MO
National Provider Identifier
1003119595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2002015736
- Legal business name
- SARA E. CROWDER, MD
- Practice address
- 1605 E Broadway Ste 220
Columbia, MO 65201-8023 - Phone
- (573) 442-2221
- Fax
- (573) 449-8646
- NPI assigned
- Dec 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara E Crowder, MD
- Title
- Sole Proprietor
- Phone
- (573) 442-2221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2002015736 | MO | Primary |
Addresses
Primary practice location
1605 E Broadway Ste 220
Columbia, MO 65201-8023
Mailing address
1605 E Broadway Ste 260
Columbia, MO 65201-8044
Phone (573) 442-2221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205887912 | Medicaid | MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Columbia, MO
- NPI 1437115441
-
- Family Nurse Practitioner
- Columbia, MO
- NPI 1457730715
-
- Gynecologic Oncology Physician
- Columbia, MO
- NPI 1639176290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294704000000",
"number": "1003119595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 E BROADWAY STE 260",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018044",
"telephone_number": "573-442-2221",
"fax_number": "573-449-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 E BROADWAY STE 220",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018023",
"telephone_number": "573-442-2221",
"fax_number": "573-449-8646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARA E. CROWDER, MD",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-06",
"last_updated": "2011-01-11",
"status": "A",
"authorized_official_last_name": "CROWDER",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "573-442-2221",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "2002015736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205887912",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.