Organization Active NPI

Amy a Zguta MD LLC

  • Ophthalmology Physician
  • Columbia, MO
National Provider Identifier
1447547989
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2011020282 Issued in MO
Legal business name
AMY A ZGUTA MD LLC
Practice address
500 N Keene St
Suite 101
Columbia, MO 65201-8104
Phone
(573) 449-3846
Fax
(573) 449-3706
NPI assigned
Jul 5, 2011
Last updated
Oct 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. Amy Ajans Zguta, MDNPI 1376700823
Title
Member
Phone
(920) 602-1220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2011020282 MO Primary

Addresses

Primary practice location

500 N Keene St
Suite 101
Columbia, MO 65201-8104

Mailing address

500 N Keene St
Stuite 101
Columbia, MO 65201-8104
Phone (573) 449-3846

Other names 1

  • Amy Ajans Zguta MD LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111007000364 MO Part B Supplier - Clinic/Group Practice 0143492587 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

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": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1447547989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "STUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-449-3846",
            "fax_number": "573-449-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-449-3846",
            "fax_number": "573-449-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY A ZGUTA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "ZGUTA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "AJANS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "920-602-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2011020282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Ajans Zguta MD LLC",
            "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 Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.