Columbia Surgical Associates Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COLUMBIA SURGICAL ASSOCIATES INC

Practice address

3220 Bluff Creek Drive
Suite 100
Columbia, MO 65201-3525

Phone

(573) 443-8775

Fax

(573) 443-6843

NPI assigned

May 11, 2006

Last updated

Dec 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen R Craig

Title

Credentialing

Phone

(573) 443-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Richard D. Coats, M.D.

  • Vascular Surgery Physician
  • Lee's Summit, MO
  • NPI 1972507705
  NPD (past)
• Lyle G Breeding, M.D.

  • Surgery Physician
  • Brooksville, FL
  • NPI 1063625317
  NPD (past)
• Thomas H Etter, D.O.

  • Surgery Physician
  • Cody, WY
  • NPI 1154562791
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1457301574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BLUFF CREEK DRIVE",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013525",
            "telephone_number": "573-443-8775",
            "fax_number": "573-443-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BLUFF CREEK DRIVE",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013525",
            "telephone_number": "573-443-8775",
            "fax_number": "573-443-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "573-443-8773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500457700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Residential, LLC (Bluff Creek Terrace Assisted Living)
• Columbia Retina Clinic, LTD.
• Columbia Skilled Nursing Associates LLC
• Columbia Speech Therapy Services, LLC
• Columbia Sports Chiropractic, LLC
• Columbia Surgical Prosthodontics LLC (Vanderveen Dental Center)
• Columbia Surgical Services, Inc.
• Columbia Urgent Care, Inc
• Columbia/Boone County Department of Public Health and Human Services
• Jack M Colwill, MD

• Surgery Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.