Individual provider Active NPI

Elizabeth A Wilson, M.D.

  • Gynecology Physician
  • Columbia, MO
National Provider Identifier
1750381141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
108543 Issued in MO
Practice address
1601 E Broadway
Women'S Health Associates, Inc.
Columbia, MO 65201-8020
Phone
(573) 443-8796
Fax
(573) 875-3943
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 108543 MO Primary

Addresses

Primary practice location

1601 E Broadway
Women'S Health Associates, Inc.
Columbia, MO 65201-8020

Mailing address

1601 E Broadway
Women'S Health Associates, Inc.
Columbia, MO 65201-8020
Phone (573) 443-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000885 MO Practitioner - Obstetrics/Gynecology 4880674241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Missouri, Columbia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women'S Health Associates, Inc.Group PAC ID 9739078916, 11 clinicians

Practice addresses (Care Compare)

1601 E Broadway
Suite 100
Columbia, MO 65201-5821
Phone (573) 443-8796

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CH Allied Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.wilson.1@32182.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750381141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY",
            "address_2": "WOMEN'S HEALTH ASSOCIATES, INC.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018020",
            "telephone_number": "573-443-8796",
            "fax_number": "573-875-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY",
            "address_2": "WOMEN'S HEALTH ASSOCIATES, INC.",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018020",
            "telephone_number": "573-443-8796",
            "fax_number": "573-875-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "108543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.