Stuart Allen

Individual provider Active NPI Emergency Medicine Physician · Columbia, MO

NPI 1023905460 · NPPES record last updated Jun 19, 2025

Key facts

NPI
1023905460
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
2025023233 (MO)
Practice address
1 Hospital Dr
Columbia, MO 65212-1000
Phone
(573) 882-4141
NPI assigned
Jun 19, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250709002728 MO Order and Referring Only - Emergency Medicine
Practitioner - Emergency Medicine
0446764617

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2025023233MOMDEmergency Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2025023233 MO Yes

Addresses

Primary practice location

1 Hospital Dr
Columbia, MO 65212-1000

Mailing address

5 Hospital Drive
Suite Ce707 / Dc029.10
Columbia, MO 65201

Other providers in Columbia, MO

All providers in Columbia, MO · Emergency Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.