Individual provider Active NPI

Anthony T Tay, MD

  • Rheumatology Physician
  • Columbia, MO
National Provider Identifier
1669416046
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2003007573 Issued in MO
Practice address
3610 Buttonwood Dr
Suite 200
Columbia, MO 65201-3721
Phone
(417) 689-4080
NPI assigned
Jun 15, 2006
Last updated
Aug 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 2003007573 MO Primary

Addresses

Primary practice location

3610 Buttonwood Dr
Suite 200
Columbia, MO 65201-3721

Mailing address

29 NW 1St LN
Lamar, MO 64759-8105
Phone (417) 681-5248

Other identifiers 2

IdentifierTypeStateIssuer
177676OtherBLUE CROSS/BLUE SHIELD
208975409MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000031 MO Practitioner - Rheumatology 4688604911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Medical College of Wisconsin, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians

Practice addresses (Care Compare)

Bolivar, MO 65613
Phone (417) 328-6631

1155 W Parkview
2K CMH Rheumatology
Bolivar, MO 65613-8598
Phone (417) 328-7000

1155 W Parkview St
Suite 2J
Bolivar, MO 65613-8598
Phone (417) 328-7702

1500 N Oakland Ave
CMH Diabetes
Bolivar, MO 65613-3099
Phone (417) 328-6040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Dec 29, 2008 Accepting new patients
Citizens Memorial Healthcare CurrentSince Mar 11, 2009 Accepting new patients
Citizens Memorial Healthcare CurrentSince Mar 11, 2009 Accepting new patients
Community Memorial Hospital District CurrentSince May 15, 2020 Accepting new patients
Ozarks Medical Center CurrentSince Dec 29, 2008 Accepting new patients
Ozarks Medical Center Rheumatology Current Accepting new patients
Ferrell Duncan Clinic, Inc Past Accepting new patients

Locations

408 E 7th St
Appleton City, MO 64724
Phone (660) 476-2111

1155 W Parkview St
Ste 2K
Bolivar, MO 65613
Phone (417) 328-7000

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

525 Branson Landing Blvd
Ste 301
Branson, MO 65616
Phone (417) 335-7479

525 Branson Landing Blvd
Ste 508
Branson, MO 65616
Phone (417) 335-7540

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

3610 Buttonwood Dr
Ste 200
Columbia, MO 65201
Phone (573) 363-4356

29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266

29 NW 1st Ln
#One
Lamar, MO 64759
Phone (417) 681-5266

106 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-4110

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

1001 E Primrose St
Ste 200
Springfield, MO 65807
Phone (417) 875-3275

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900

2828 N National Ave
Springfield, MO 65803
Phone (417) 837-4000

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • Direct secure messaging: anthony.tay@cernerdirect.coxhealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1669416046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NW 1ST LN",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647598105",
            "telephone_number": "417-681-5248",
            "fax_number": "417-681-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 BUTTONWOOD DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013721",
            "telephone_number": "417-689-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAY",
        "first_name": "ANTHONY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2003007573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "177676",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208975409",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.