NPIMap

Organization Active NPI

Missouri Ear Nose and Throat Center

  • Medical Specialty Clinic/Center
  • Columbia, MO
National Provider Identifier
1033319140
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MISSOURI EAR NOSE AND THROAT CENTER
Practice address
3401 Berrywood Dr
Suite 201
Columbia, MO 65201-6515
Phone
(573) 815-0662
Fax
(573) 443-1162
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. William Charles Kinney Sr., MD
Title
Member
Phone
(573) 808-0492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3401 Berrywood Dr
Suite 201
Columbia, MO 65201-6515

Mailing address

3401 Berrywood Dr
Suite 201
Columbia, MO 65201-6515
Phone (573) 815-0662

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1033319140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BERRYWOOD DR",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016515",
            "telephone_number": "573-815-0662",
            "fax_number": "573-443-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BERRYWOOD DR",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016515",
            "telephone_number": "573-815-0662",
            "fax_number": "573-443-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI EAR NOSE AND THROAT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-808-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "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 Jul 18, 2007; 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.