NPIMap

Organization Active NPI

Mid-America Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Columbia, MO
National Provider Identifier
1083728463
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MID-AMERICA ANESTHESIA CONSULTANTS, PC
Practice address
1316 Old 63 S
Suite 102
Columbia, MO 65201-6092
Phone
(573) 875-8838
Fax
(573) 875-8589
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Dr. Mark Cohen, M.D.NPI 1053470039
Title
President
Phone
(573) 875-8838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1316 Old 63 S
Suite 102
Columbia, MO 65201-6092

Mailing address

1316 Old Highway 63 South
Suite 102
Columbia, MO 65201
Phone (573) 875-8838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000952 MO Part B Supplier - Clinic/Group Practice 6305837626 Receives reassigned benefits from 60 practitioners
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

12266 De Paul Dr
Ste 10
Bridgeton, MO 63044
Phone (314) 291-7500

1316 Old Highway 63 S
Ste 102
Columbia, MO 65201
Phone (573) 875-8838

Practitioners & affiliated clinicians

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 118

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1083728463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 OLD HIGHWAY 63 SOUTH",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-875-8838",
            "fax_number": "573-875-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 OLD 63 S",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016092",
            "telephone_number": "573-875-8838",
            "fax_number": "573-875-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-AMERICA ANESTHESIA CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-875-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "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 Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.