Organization Active NPI

Epoch - Central Missouri Limited Liability Company

  • General Practice Physician
  • Columbia, MO
National Provider Identifier
1710383435
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EPOCH - CENTRAL MISSOURI LIMITED LIABILITY COMPANY
Practice address
2900 Trimble Rd.
Columbia, MO 65201-6465
Phone
(573) 818-3067
NPI assigned
Nov 6, 2014
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Steve House
Title
Authorized Official
Phone
(817) 239-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2900 Trimble Rd.
Columbia, MO 65201-6465

Mailing address

2900 Trimble Rd.
Columbia, MO 65201-6465

National Provider Directory

National Provider Directory

Locations

2900 Trimble Rd
Columbia, MO 65201
Phone (573) 818-3067

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1710383435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 TRIMBLE RD.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 TRIMBLE RD.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016465",
            "telephone_number": "573-818-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH - CENTRAL MISSOURI LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-239-9801"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.