Tim Soncasie Internal Medicine at Boone Clinic, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

111504 Issued in MO

Legal business name

TIM SONCASIE INTERNAL MEDICINE AT BOONE CLINIC, LLC

Practice address

401 N Keene St
Columbia, MO 65201-6625

Phone

(573) 876-1665

Fax

(573) 874-0665

NPI assigned

Jun 30, 2015

Last updated

Jun 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Soncasie, MD

Title

President

Phone

(573) 876-1660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1750764536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016625",
            "telephone_number": "573-876-1660",
            "fax_number": "573-874-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016625",
            "telephone_number": "573-876-1665",
            "fax_number": "573-874-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM SONCASIE INTERNAL MEDICINE AT BOONE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "SONCASIE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-876-1660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "111504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiger Family Chiropractic and Wellness Center
• Tiger Living Services, LLC
• Tiger Pediatrics LLC
• Tiger Place, LLC (The Neighborhoods Rehabilitation & Skilled Nursing by TigerPlace)
• Emily Marie Tighe
• Timberlake Chiropractic, P.C.
• Lotta R Timberlake, D.C.
• Kathy Lynn Timms, PH.D., HCLD
• Timothy D McGarity MD PC
• Graham Michael Tinker, D.D.S.

• Internal Medicine Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.