Active NPI
Susie Early MD PC
- Otolaryngology Physician
- Columbia, MO
National Provider Identifier
1407852213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- SUSIE EARLY MD PC
- Practice address
- 303 North Keene Street
Suite 401
Columbia, MO 65201 - Phone
- (573) 874-6984
- Fax
- (573) 874-8737
- NPI assigned
- Jun 27, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth K. Early, MD
- Title
- Physician
- Phone
- (573) 874-6984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MO | Primary |
Addresses
Primary practice location
303 North Keene Street
Suite 401
Columbia, MO 65201
Mailing address
303 North Keene Street
Suite 401
Columbia, MO 65201
Phone (573) 874-6984
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB8490 | Other | MO | RAILROAD MEDICARE |
| 497844546EAR | Other | MO | MERCY |
| 661525 | Other | MO | HEALTHLINK |
| 190084 | Other | MO | BLUE CROSS BLUE SHIELD |
| 48602 | Other | MO | HEALTHCARE USA |
| 507255107 | Medicaid | MO |
Other names 1
- Elizabeth K. Early, MD
National Provider Directory
National Provider DirectoryLocations
500 N Keene St
Ste 405
Columbia, MO 65201
Phone (573) 449-5007
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Columbia, MO
- NPI 1710130711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1407852213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 NORTH KEENE STREET",
"address_2": "SUITE 401",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-874-6984",
"fax_number": "573-874-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 NORTH KEENE STREET",
"address_2": "SUITE 401",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-874-6984",
"fax_number": "573-874-8737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSIE EARLY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "EARLY",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "573-874-6984",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB8490",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "497844546EAR",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "661525",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "190084",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "48602",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507255107",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elizabeth K. Early, MD",
"code": "5",
"type": "Other Name"
}
]
}
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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.