John Mruzik

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

105840 Issued in MO

Practice address

601 Business Loop 70 W
Suite 275
Columbia, MO 65203-2585

Phone

(573) 874-0008

Fax

(573) 875-5350

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jmruzik11396@direct.carenet.org

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.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1104936566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR",
            "address_2": "SUITE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "573-874-0008",
            "fax_number": "573-875-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BUSINESS LOOP 70 W",
            "address_2": "SUITE 275",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032585",
            "telephone_number": "573-874-0008",
            "fax_number": "573-875-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRUZIK",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "105840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gertrud Elisabet Motavalli
• Maliah Moton-Gill
• Melinda Motter, M.ED
• Maggie Minyan Mouzourakis, MD
• Nathan J Mozingo, APRN, FNP-C
• MSMP Anesthesia Services LLC
• Mu Student Health Center
• Amy Christine Muchow, RN, BSN
• Stephen C Mudd, MA, PLPC
• Delaney S. Muehlmann, RD, LD

• Family Medicine Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.