Active NPI
Institute for Outpatient Surgery, LLC
- Ambulatory Surgical Clinic/Center
- Columbia, MO
National Provider Identifier
1477546687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 116-2
- Legal business name
- INSTITUTE FOR OUTPATIENT SURGERY, LLC
- Practice address
- 402 Keene St
Suite 200
Columbia, MO 65201-6626 - Phone
- (573) 499-1150
- Fax
- (573) 443-4669
- NPI assigned
- Aug 24, 2005
- 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. Lowell Schoengarth, M.D.
- Title
- Medical Director
- Phone
- (573) 499-1150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 116-2 | MO | Primary |
Addresses
Primary practice location
402 Keene St
Suite 200
Columbia, MO 65201-6626
Mailing address
402 Keene St
Suite 200
Columbia, MO 65201-6626
Phone (573) 499-1150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338230 | Other | MO | HEALTHLINK |
| 157213 | Other | MO | ANTHEM BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Columbia, MO
- NPI 1366496515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1477546687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 KEENE ST",
"address_2": "SUITE 200",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016626",
"telephone_number": "573-499-1150",
"fax_number": "573-443-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 KEENE ST",
"address_2": "SUITE 200",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016626",
"telephone_number": "573-499-1150",
"fax_number": "573-443-4669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE FOR OUTPATIENT SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-24",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SCHOENGARTH",
"authorized_official_first_name": "LOWELL",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "573-499-1150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MO",
"license": "116-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "338230",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "157213",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.