Individual provider Active NPI

Laura Teresa Withers, M.D.

  • Surgery Physician
  • Columbia, MO
National Provider Identifier
1104098110
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
002800501 Issued in ME
Practice address
1 Hospital Dr
Ddepartment of Familt Medicine
Columbia, MO 65212-1000
Phone
(573) 884-7060
NPI assigned
Mar 31, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 002800501 ME Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2025045730 MO
Trauma Surgery Physician 2086S0127X 602330543 WA
Surgical Critical Care Physician 2086S0102X ME102332 FL
Surgery Physician 208600000X 602330543 WA

Addresses

Primary practice location

1 Hospital Dr
Ddepartment of Familt Medicine
Columbia, MO 65212-1000

Mailing address

3500 S. Scott Blvd
12B
Columbia, MO 65203
Phone (917) 650-5408

Other names 1

  • Dr. Laura Teresa Gideon Withers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120917000298 ME Practitioner - Surgical OncologyPractitioner - General Surgery 0042370694 Reassigns benefits to 1 organization
I20200511000772 NY Practitioner - General Surgery 0042370694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2025045730MOMDHospice and Palliative Medicine (Family Medicine) Physician
002800501MEMDSurgery Physician
ME102332FLMDSurgical Critical Care Physician
602330543WAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Medical Partners Surgery CurrentSince Dec 17, 2017 Accepting new patients
Maine Medical Partners Surgery Current Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Dec 17, 2017 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2020 Accepting new patients
Mainehealth CurrentSince Dec 17, 2017 Accepting new patients
Mainehealth CurrentSince Dec 17, 2017 Accepting new patients
Mainehealth Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

887 Congress St
Ste 210
Portland, ME 04102
Phone (207) 774-2381

887 Congress St
Portland, ME 04102
Phone (207) 662-5522

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: lwithers203109@direct.mmc.mainehealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1104098110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S. SCOTT BLVD",
            "address_2": "12B",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "917-650-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "DDEPARTMENT OF FAMILT MEDICINE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "LAURA",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-31",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "002800501",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "2025045730",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WA",
            "license": "602330543",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME102332",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "602330543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GIDEON WITHERS",
            "middle_name": "TERESA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.