Individual provider Active NPI

Sara E Crowder, MD

  • Gynecologic Oncology Physician
  • Columbia, MO
National Provider Identifier
1285689687
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
2002015736 Issued in MO
Practice address
1601 E Broadway Ste 260
Columbia, MO 65201
Phone
(573) 815-2221
Fax
(573) 815-5320
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 2002015736 MO Primary

Addresses

Primary practice location

1601 E Broadway Ste 260
Columbia, MO 65201

Mailing address

1601 E Broadway Ste 260
Columbia, MO 65201
Phone (573) 815-2221

Other identifiers 1

IdentifierTypeStateIssuer
205887904MedicaidMO

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
I20061017000141 MO Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 1658377510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Missouri St Louis - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians

Practice addresses (Care Compare)

1601 E Broadway
Suite 260
Columbia, MO 65201-8041
Phone (573) 815-5310

Hospital & facility affiliations

  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Removal of the uterus35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boone Physician Services, LLC CurrentSince Oct 7, 2024 Accepting new patients
Gynecology Specialists, LLC CurrentSince Jul 1, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients
CH Allied Services, Inc Past Accepting new patients

Locations

1605 E Broadway
Ste 260
Columbia, MO 65201
Phone (573) 442-2221

1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119

1605 E Broadway
Ste 220
Columbia, MO 65201
Phone (573) 442-2221

1601 E Broadway
Ste 260
Columbia, MO 65201
Phone (573) 815-2221

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

300 N Morley St
Moberly, MO 65270
Phone (660) 263-0909

Organizations & group practices 4

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 2

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1285689687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY STE 260",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-2221",
            "fax_number": "573-815-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY STE 260",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-815-2221",
            "fax_number": "573-815-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MO",
            "license": "2002015736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205887904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.