Active NPI
Jan Seabaugh MD LLC
- Otolaryngology Physician
- Columbia, MO
National Provider Identifier
1679933188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- JAN SEABAUGH MD LLC
- Practice address
- 3315 Berrywood Dr
Suite 207
Columbia, MO 65201-6571 - Phone
- (573) 815-9062
- Fax
- (573) 443-1162
- NPI assigned
- Feb 25, 2016
- 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
- Janice L Seabaugh, MD
- Title
- Physician
- Phone
- (573) 815-9062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
3315 Berrywood Dr
Suite 207
Columbia, MO 65201-6571
Mailing address
3315 Berrywood Dr
Suite 207
Columbia, MO 65201-6571
Phone (573) 815-9062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134187487 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
3315 Berrywood Dr
Ste 207
Columbia, MO 65201
Phone (573) 815-0662
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist
- Columbia, MO
- NPI 1790958239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458086400000",
"number": "1679933188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 BERRYWOOD DR",
"address_2": "SUITE 207",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016571",
"telephone_number": "573-815-9062",
"fax_number": "573-443-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 BERRYWOOD DR",
"address_2": "SUITE 207",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016571",
"telephone_number": "573-815-9062",
"fax_number": "573-443-1162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN SEABAUGH MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-25",
"last_updated": "2016-03-16",
"status": "A",
"authorized_official_last_name": "SEABAUGH",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "573-815-9062",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134187487",
"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 Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.