Organization Active NPI

Sea a PC

  • Emergency Medicine Physician
  • Columbia, MO
National Provider Identifier
1720401300
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
100814 Issued in MO
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

Updated by the provider on Apr 16, 2014

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)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 100814 MO Primary
Hospice and Palliative Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.