Active NPI
Sarah Elizabeth Severance, M.D.
- Vascular Surgery Physician
- Columbia, MO
National Provider Identifier
1609256981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2022017694
- Practice address
- 1601 E Broadway Ste 350
Columbia, MO 65201-8019 - Phone
- (573) 815-2970
- Fax
- (573) 815-2975
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2022017694 | MO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11018230A | IN |
Addresses
Primary practice location
1601 E Broadway Ste 350
Columbia, MO 65201-8019
Mailing address
1601 E Broadway Ste 350
Columbia, MO 65201-8019
Phone (573) 815-2970
Other names 1
- Sarah Elizabeth Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Pittsburgh School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000
Hospital & facility affiliations
- Boone Hospital Center
- University of Missouri Health Care
- Macon County Samaritan Memorial Hospital
- Bothwell Regional Health Center
- Pershing Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 17 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current | Accepting new patients |
Locations
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1601 E Broadway
Ste 350
Columbia, MO 65201
Phone (573) 443-8796
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
- Critical Access Hospital
- Brookfield, MO
- NPI 1417991159
-
- Critical Access Hospital
- Macon, MO
- NPI 1548215106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1609256981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E BROADWAY STE 350",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018019",
"telephone_number": "573-815-2970",
"fax_number": "573-815-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E BROADWAY STE 350",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018019",
"telephone_number": "573-815-2970",
"fax_number": "573-815-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERANCE",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2022017694",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11018230A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "WILLIAMS",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former 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 May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.