Evexias Metrita - Columbia LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EVEXIAS METRITA - COLUMBIA LLC

Practice address

2900 Trimble Rd Ste 107
Columbia, MO 65201-7180

Phone

(817) 296-4560

Fax

(817) 796-1678

NPI assigned

Oct 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Michael Sutherland Cole

Title

Cfo

Phone

(817) 296-4560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1295202612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S KIMBALL AVE STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929019",
            "telephone_number": "817-296-4560",
            "fax_number": "817-796-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 TRIMBLE RD STE 107",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017180",
            "telephone_number": "817-296-4560",
            "fax_number": "817-796-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEXIAS METRITA - COLUMBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SUTHERLAND",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-296-4560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Dean Evans
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• Kristen Horne Ewing, MD
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• Ambulatory Surgical Clinic/Center in Columbia, MO
• Providers in Columbia, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.