Organization Active NPI

Midwest Sinus Allergy Inc.

  • Specialist
  • Columbia, MO
National Provider Identifier
1740674340
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36516 Issued in MO
Legal business name
MIDWEST SINUS ALLERGY INC.
Practice address
3315 Berrywood Dr
Ste. 207
Columbia, MO 65201-6571
Phone
(573) 815-0662
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Miss Lindsay Ketchum
Title
Office Manager
Phone
(573) 815-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 36516 MO Primary

Addresses

Primary practice location

3315 Berrywood Dr
Ste. 207
Columbia, MO 65201-6571

Mailing address

3315 Berrywood Dr
Ste. 207
Columbia, MO 65201-6571

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1740674340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BERRYWOOD DR",
            "address_2": "STE. 207",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 BERRYWOOD DR",
            "address_2": "STE. 207",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016571",
            "telephone_number": "573-815-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SINUS ALLERGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "KETCHUM",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-815-0662",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "36516",
            "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 Mar 23, 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.