Individual provider Active NPI

Christina Elaine Stixrud, M.D.

  • Internal Medicine Physician
  • Columbia, MO
National Provider Identifier
1205937265
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2004014283 Issued in MO
Practice address
1701 E Broadway
Suite 203
Columbia, MO 65201-8018
Phone
(573) 441-1000
Fax
(573) 441-1010
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004014283 MO Primary
Pediatrics Physician 208000000X 2004014283 MO

Addresses

Primary practice location

1701 E Broadway
Suite 203
Columbia, MO 65201-8018

Mailing address

1701 E Broadway
Suite 203
Columbia, MO 65201-8018
Phone (573) 441-1000

Other identifiers 1

IdentifierTypeStateIssuer
209314707MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000711 MO Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7911968904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Missouri, Kansas City, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 E Broadway
Suite 203
Columbia, MO 65201-8018
Phone (573) 441-1000

Hospital & facility affiliations

  • Central Missouri Home Health Home health agency, Jefferson City, MO, CCN 267448
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004014283MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christina E. Stixrud & Associates, M.D., P.C. Internal Medicine CurrentSince Jan 12, 2006 Accepting new patients
CH Allied Services, Inc. Past Accepting new patients

Locations

1701 E Broadway
Columbia, MO 65201
Phone (573) 239-1950

1701 E Broadway
Ste 203
Columbia, MO 65201
Phone (573) 441-1000

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1205937265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E BROADWAY",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018018",
            "telephone_number": "573-441-1000",
            "fax_number": "573-441-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E BROADWAY",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018018",
            "telephone_number": "573-441-1000",
            "fax_number": "573-441-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIXRUD",
        "first_name": "CHRISTINA",
        "middle_name": "ELAINE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004014283",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2004014283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209314707",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.