Active NPI
Laura Teresa Withers, M.D.
- Surgery Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 002800501
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 97.93 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2025045730 | MO | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| 002800501 | ME | MD | Surgery Physician |
| ME102332 | FL | MD | Surgical Critical Care Physician |
| 602330543 | WA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Medical Partners | Surgery | Current | Accepting new patients |
| Maine Medical Partners | Surgery | Current | Accepting new patients |
| Mainehealth | Current | Accepting new patients | |
| Maine Medical Partners | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | 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
- 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.
-
- Surgery Physician
- Portland, ME
- NPI 1285738310
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Orthopaedic Trauma Physician
- Portland, ME
- NPI 1124335591
-
- Surgery Physician
- Scarborough, ME
- NPI 1346687167
-
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
- Pediatric Critical Care Medicine Physician
- Portland, ME
- NPI 1265536817
-
- Psychiatric Hospital
- Westbrook, ME
- NPI 1790265502
-
- Clinic/Center
- Portland, ME
- NPI 1487346722
-
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
-
- Pediatric Anesthesiology Physician
- Orlando, FL
- NPI 1457489767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.