Active NPI
Myriam Cristina Yafar Ensling, MD
- Internal Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2003016643
- Practice address
- 201 W Broadway
Building 2 Ste. a
Columbia, MO 65203-3842 - Phone
- (573) 442-2083
- NPI assigned
- May 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2003016643 | MO | Primary |
Addresses
Primary practice location
201 W Broadway
Building 2 Ste. a
Columbia, MO 65203-3842
Mailing address
201 W Broadway
Building 2 Ste. a
Columbia, MO 65203-3842
Phone (573) 442-2083
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 568033 | Other | MO | HEALTHLINK |
| 180396 | Other | MO | BLUE SHIELD/BLUE CHOICE |
| P00063573 | Other | MO | RR MEDICARE |
| 0404635 | Other | MO | UNITED HEALTHCARE |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003016643 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| SSM Audrain Health Care, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Clinic Southeast
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
dba SSM Health Medical Group- Pediatrics
- Pediatrics Physician
- Mexico, MO
- NPI 1336350214
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1255389037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W BROADWAY",
"address_2": "BUILDING 2 STE. A",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033842",
"telephone_number": "573-442-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W BROADWAY",
"address_2": "BUILDING 2 STE. A",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033842",
"telephone_number": "573-442-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAFAR ENSLING",
"first_name": "MYRIAM",
"middle_name": "CRISTINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2003016643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "568033",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD/BLUE CHOICE",
"identifier": "180396",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00063573",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0404635",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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 27, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.