Organization Active NPI

Myriam Ensling, M.D., LLC

Doing business as Dr. Myriam Ensling Internal Medicine and Obesity Clinic

  • Internal Medicine Physician
  • Columbia, MO
National Provider Identifier
1235484718
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003016643 Issued in MO
Legal business name
MYRIAM ENSLING, M.D., LLC
Doing business as
Dr. Myriam Ensling Internal Medicine and Obesity Clinic
Practice address
1502 E Broadway
Suite 201
Columbia, MO 65201-8076
Phone
(573) 442-2083
Fax
(573) 442-9338
NPI assigned
Jul 20, 2012
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Mrs. Myriam C Ensling, M.D.
Title
Sole Owner/Provider
Phone
(573) 442-2083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003016643 MO Primary

Addresses

Primary practice location

1502 E Broadway
Suite 201
Columbia, MO 65201-8076

Mailing address

1502 E Broadway
Suite 201
Columbia, MO 65201-8076
Phone (573) 442-2083

Other names 1

  • Dr. Myriam Ensling Internal Medicine and Obesity Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1235484718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E BROADWAY",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018076",
            "telephone_number": "573-442-2083",
            "fax_number": "573-442-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E BROADWAY",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018076",
            "telephone_number": "573-442-2083",
            "fax_number": "573-442-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRIAM ENSLING, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "ENSLING",
        "authorized_official_first_name": "MYRIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE OWNER/PROVIDER",
        "authorized_official_telephone_number": "573-442-2083",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2003016643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Myriam Ensling Internal Medicine and Obesity Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 20, 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.