Active NPI
Zebulon E Thomeczek, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2010017626
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-2568
- Fax
- (573) 882-2226
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 220819 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 2010017626 | MO | Primary |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other practice location 1
2100 Erwin Rd
Durham, NC 27705-3941
Phone (919) 684-8111
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
| CONNECT URL | https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-2100
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone (573) 556-5771
Hospital & facility affiliations
- University of Missouri Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010017626 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pender Memorial Hospital Incorporated | Current | Accepting new patients | |
| Duke University Health System, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Jefferson City Medical Group, P.C. | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients |
Locations
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
1241 W Stadium Blvd
Jefferson Cty, MO 65109
Phone (573) 556-5771
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
2511 Delaney Ave
Wilmington, NC 28403
Phone (910) 667-9328
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
40 Sunset Ridge Rd
Ste 120
New Paltz, NY 12561
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Jefferson City, MO
- NPI 1336189398
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1053444901
-
- Hematology & Oncology Physician
- Jefferson City, MO
- NPI 1215093257
-
- Family Medicine Physician
- Fulton, MO
- NPI 1649099714
-
- Clinical Medical Laboratory
- Jefferson City, MO
- NPI 1811292105
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1033420724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-882-2568",
"fax_number": "573-882-2226"
}
],
"practiceLocations": [
{
"address_1": "2100 Erwin Rd",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277053941",
"country_code": "US",
"telephone_number": "919-684-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMECZEK",
"first_name": "ZEBULON",
"middle_name": "E",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-28",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "220819",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2010017626",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "1 Hospital Dr",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652015276",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.1",
"affiliationName": "Bluemark",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "40 Sunset Ridge Rd Ste 120",
"city": "New Paltz",
"state": "NY",
"country_code": "US",
"postal_code": "125611039",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.