Active NPI
John C Vanstone MD PC
- Nephrology Physician
- Columbia, MO
National Provider Identifier
1629290002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- JOHN C VANSTONE MD PC
- Practice address
- 3300 Lemone Industrial Blvd
Columbia, MO 65201 - Phone
- (573) 443-1531
- NPI assigned
- May 3, 2007
- 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. John C Vanstone, MD
- Title
- President
- Phone
- (573) 443-1531
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
3300 Lemone Industrial Blvd
Columbia, MO 65201
Mailing address
2109 Dickinson CT
Columbia, MO 65202
Phone (573) 814-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506242007 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
600 Rosewood Dr
Kirksville, MO 63501
Phone (217) 214-6260
1511 Union Ave
Moberly, MO 65270
Phone (660) 236-1611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256169600000",
"number": "1629290002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 DICKINSON CT",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65202",
"telephone_number": "573-814-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 LEMONE INDUSTRIAL BLVD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65201",
"telephone_number": "573-443-1531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C VANSTONE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2009-10-22",
"status": "A",
"authorized_official_last_name": "VANSTONE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-443-1531",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "506242007",
"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 Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.