Missouri Ear Nose and Throat Center

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

112260 Issued in MO

Legal business name

MISSOURI EAR NOSE AND THROAT CENTER

Practice address

1000 West Nifong Blvd
Building 3 Suite 100
Columbia, MO 65203-6520

Phone

(573) 214-2000

Fax

(573) 214-2042

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Troy D Scheidt, M.D.

Title

Member

Phone

(573) 214-2000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MO ENT Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1083886972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WEST NIFONG BLVD",
            "address_2": "BUILDING 3 SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032966",
            "telephone_number": "573-214-2000",
            "fax_number": "573-214-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WEST NIFONG BLVD",
            "address_2": "BUILDING 3 SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036520",
            "telephone_number": "573-214-2000",
            "fax_number": "573-214-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI EAR NOSE AND THROAT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "SCHEIDT",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-214-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "112260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208666503",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209107309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MO ENT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "MO ENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Otolaryngology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.