Active NPI
Mid-Missouri ENT and Facial Plastic Surgery Specialsts Inc.
- Otolaryngology Physician
- Jefferson City, MO
National Provider Identifier
1619089836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALSTS INC.
- Practice address
- 3527 W Truman Blvd
Ste 200
Jefferson City, MO 65109 - Phone
- (573) 635-7901
- Fax
- (573) 635-4805
- NPI assigned
- Sep 1, 2006
- 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
- Douglas J Howland, DO
- Title
- Physician
- Phone
- (573) 635-7901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
3527 W Truman Blvd
Ste 200
Jefferson City, MO 65109
Mailing address
3527 W Truman Blvd
Ste 200
Jefferson City, MO 65109
Phone (573) 635-7901
National Provider Directory
National Provider DirectoryLocations
3527 W Truman Blvd
Ste 200
Jefferson Cty, MO 65109
Phone (573) 635-7901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213833600000",
"number": "1619089836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 W TRUMAN BLVD",
"address_2": "STE 200",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65109",
"telephone_number": "573-635-7901",
"fax_number": "573-635-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 W TRUMAN BLVD",
"address_2": "STE 200",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "65109",
"telephone_number": "573-635-7901",
"fax_number": "573-635-4805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALSTS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2008-06-19",
"status": "A",
"authorized_official_last_name": "HOWLAND",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "573-635-7901",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.