Missouri Obesity Center,LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

MISSOURI OBESITY CENTER,LLC

Doing business as

Wiredu Endocrinology

Practice address

1601 E Broadway Ste 160
Columbia, MO 65201-5821

Phone

(573) 777-9917

Fax

(573) 777-9918

NPI assigned

Nov 30, 2018

Last updated

Nov 30, 2018By 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

Dr. Charles Kontor Wiredu, MDNPI 1114117892

Title

Owner

Phone

(417) 988-5306

Specialties & licenses 1

Addresses

Other names 1

• Wiredu Endocrinology Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Kontor Wiredu, M.D.

  • Hospitalist Physician
  • Columbia, MO
  • NPI 1114117892

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1811467053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 BEACON FALLS DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039056",
            "telephone_number": "417-988-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY STE 160",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015821",
            "telephone_number": "573-777-9917",
            "fax_number": "573-777-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI OBESITY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "WIREDU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KONTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-988-5306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiredu Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18080)
• Missouri Dental Professionals, Richard Straus, DMD, PC (ProDental)
• Missouri Dental Professionals, Richard Straus, DMD, PC (Fairview Dental Care)
• Missouri Ear Nose and Throat Center
• Missouri Ear Nose and Throat Center
• Missouri Retina Consultants PC
• Missouri Smiles LLC (TBD)
• Lauren Ann Mistler, NP-C
• Dolly A. Mitchell, LMSW
• Dora Denise Mitchell, LPC

• Endocrinology, Diabetes & Metabolism Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Endocrinology, Diabetes & Metabolism Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.