Active NPI
Sea a PC
- Emergency Medicine Physician
- Columbia, MO
National Provider Identifier
1720401300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 100814
- Legal business name
- SEA A PC
- Practice address
- 201 W Broadway
BLDG 5 Ste B
Columbia, MO 65203-3842 - Phone
- (573) 447-7477
- Fax
- (573) 777-3528
- NPI assigned
- Feb 2, 2014
- 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. Charlene Adkins, MD
- Title
- Owner and Ceo
- Phone
- (573) 489-1222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 100814 | MO | Primary |
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | 100814 | MO |
Addresses
Primary practice location
201 W Broadway
BLDG 5 Ste B
Columbia, MO 65203-3842
Mailing address
201 W Broadway
BLDG 5 Ste B
Columbia, MO 65203-3842
Phone (573) 447-7477
National Provider Directory
National Provider DirectoryLocations
201 W Broadway
Ste 5B
Columbia, MO 65203
Phone (573) 489-1222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397606400000",
"number": "1720401300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W BROADWAY",
"address_2": "BLDG 5 STE B",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033842",
"telephone_number": "573-447-7477",
"fax_number": "573-777-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W BROADWAY",
"address_2": "BLDG 5 STE B",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033842",
"telephone_number": "573-447-7477",
"fax_number": "573-777-3528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA A PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-02",
"last_updated": "2014-04-16",
"status": "A",
"authorized_official_last_name": "ADKINS",
"authorized_official_first_name": "CHARLENE",
"authorized_official_title_or_position": "OWNER AND CEO",
"authorized_official_telephone_number": "573-489-1222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "MO",
"license": "100814",
"primary": true
},
{
"code": "207PH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "MO",
"license": "100814",
"primary": false
}
],
"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 Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.