Active NPI
Michael S Cardwell, M.D.
- Maternal & Fetal Medicine Physician
- Columbia, MO
National Provider Identifier
1063419638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- R3H70
- Practice address
- 500 N. Keene St
Suite 406
Columbia, MO 65201 - Phone
- (573) 499-6041
- Fax
- (573) 499-6091
- NPI assigned
- Jun 28, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R3H70 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | G2340 | TX | |
| Maternal & Fetal Medicine Physician | 207VM0101X | G2340 | TX | |
| Maternal & Fetal Medicine Physician | 207VM0101X | MD-41562 | IA | |
| Maternal & Fetal Medicine Physician | 207VM0101X | R3H70 | MO | Primary |
Addresses
Primary practice location
500 N. Keene St
Suite 406
Columbia, MO 65201
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other practice location 1
330 Laurel St
Suite 2300
Des Moines, IA 50314-3034
Phone (515) 643-6888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3H70 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Texas Billing, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1063419638",
"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": "500 N. KEENE ST",
"address_2": "SUITE 406",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-499-6041",
"fax_number": "573-499-6091"
}
],
"practiceLocations": [
{
"address_1": "330 Laurel St",
"address_2": "Suite 2300",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503143034",
"country_code": "US",
"telephone_number": "515-643-6888",
"fax_number": "515-643-6899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDWELL",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "R3H70",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "G2340",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "TX",
"license": "G2340",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IA",
"license": "MD-41562",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MO",
"license": "R3H70",
"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 Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.