Organization Active NPI

Susie Early MD PC

  • Otolaryngology Physician
  • Columbia, MO
National Provider Identifier
1407852213
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DB8490OtherMORAILROAD MEDICARE
497844546EAROtherMOMERCY
661525OtherMOHEALTHLINK
190084OtherMOBLUE CROSS BLUE SHIELD
48602OtherMOHEALTHCARE USA
507255107MedicaidMO

Other names 1

  • Elizabeth K. Early, MD Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.