Central Mo Ear, Nose, Throat, & Sinus, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MDR1K87 Issued in MO

Legal business name

CENTRAL MO EAR, NOSE, THROAT, & SINUS, P.C.

Practice address

3527 W Truman Blvd Ste 200
Jefferson City, MO 65109-5902

Phone

(573) 659-5570

Fax

(573) 659-5577

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert J McDonald, MDNPI 1033184007

Title

Owner

Phone

(573) 659-5570

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

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

• Robert J McDonald Jr., MD

  • Otolaryngology Physician
  • Jefferson City, MO
  • NPI 1033184007
  Medicare reassignment NPD Authorized official
• Yolanda E Williams, NP

  • Otorhinolaryngology & Head-Neck Registered Nurse
  • Jefferson City, MO
  • NPI 1790987741
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1013050970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 W TRUMAN BLVD STE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095902",
            "telephone_number": "573-659-5570",
            "fax_number": "573-659-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 W TRUMAN BLVD STE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095902",
            "telephone_number": "573-659-5570",
            "fax_number": "573-659-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MO EAR, NOSE, THROAT, & SINUS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-659-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "MDR1K87",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504611609",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "24321",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG6216",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Missouri Cardiology, P.C.
• Central Missouri Counseling, Inc
• Central Missouri Diagnostic Services, LLC
• Central Missouri Eyecare Associates LLC
• Central Missouri Vision Center
• Grace B Chambly, LPN
• Kurian George Chandy
• Caitlyn Chapman
• Chase Chapman
• Janet Lynn Chapman, SPEECH THERAPIST

• Specialist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.