Organization Active NPI

Sara E. Crowder, MD

  • Specialist
  • Columbia, MO
National Provider Identifier
1003119595
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2002015736 Issued in MO
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

Updated by the provider on Jan 11, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
205887912MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.