Paul M Angleton, MD
Individual provider Active NPI Emergency Medicine Physician · Columbia, MO
NPI 1043242001 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1043242001
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2013002755 (MO)
- Practice address
- 3916 S Providence Rd Ste 101
Columbia, MO 65203-7152 - Phone
- (573) 882-1662
- Fax
- (573) 882-4096
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130423000252 | MO | Practitioner - Emergency Medicine |
2264436823 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Curators of the University of Missouri | Current |
Accepting new patients | |
| Curators of the University of Missouri | Current |
Accepting new patients |
Locations
3916 S Providence Rd
Ste 101
Columbia, MO 65203
Phone (573) 882-1662
3916 S Providence Rd
Columbia, MO 65203
Phone (573) 882-1662
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
Interoperability endpoints
- pangleton335366@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013002755 | MO | |
| Emergency Medicine Physician | 207P00000X | 2013002755 | MO | Yes |
Addresses
Primary practice location
3916 S Providence Rd Ste 101
Columbia, MO 65203-7152
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036115645 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Other providers in Columbia, MO
- Ameena Anees
- Anesthesia Services of Mid Missouri
- Jonathan Fortes Ang
- Diane Angelo
- Ashley E Angerer-Blunt
- Olivia Anic-Reuter
- Mary Ankeney
- Todd M Ankenman
- Annies Angels Adult Daycare Center LLC
- Annies Angels in Home Care LLC
All providers in Columbia, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.