Organization Active NPI

Columbia Family Medical Group, Inc

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1003951062
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLUMBIA FAMILY MEDICAL GROUP, INC
Practice address
303 N Keene St
Suite 301
Columbia, MO 65201-7193
Phone
(573) 449-0808
Fax
(573) 442-1331
NPI assigned
Feb 20, 2007
Last updated
Jun 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eva M Trabue
Title
Office Manager
Phone
(573) 446-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

303 N Keene St
Suite 301
Columbia, MO 65201-7193

Mailing address

303 N Keene St
Suite 301
Columbia, MO 65201-7193
Phone (573) 449-0808

National Provider Directory

National Provider Directory

Locations

1506 E Broadway
Ste 220
Columbia, MO 65201
Phone (573) 449-0808

303 N Keene St
Ste 301
Columbia, MO 65201
Phone (573) 449-0808

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1003951062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-449-0808",
            "fax_number": "573-442-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N KEENE ST",
            "address_2": "SUITE 301",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017193",
            "telephone_number": "573-449-0808",
            "fax_number": "573-442-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA FAMILY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "TRABUE",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-446-0037"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 4, 2009; 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.