Southeast Missouri Urology Consultants PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SOUTHEAST MISSOURI UROLOGY CONSULTANTS PC

Practice address

1106 N Main St
Sikeston, MO 63801-5046

Phone

(573) 471-8656

Fax

(573) 471-8491

NPI assigned

Oct 17, 2005

Last updated

Oct 3, 2007By 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

Linza Taylor Killion, MDNPI 1033108691

Title

Ceo

Phone

(573) 471-8656

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Linza Taylor Killion, MD

  • Urology Physician
  • Sikeston, MO
  • NPI 1033108691
  Authorized official Same address or phone
• Paula S Newman, PSY.D.

  • Clinical Psychologist
  • Cottonwood, AZ
  • NPI 1174734610
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1841289402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015046",
            "telephone_number": "573-471-8656",
            "fax_number": "573-471-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015046",
            "telephone_number": "573-471-8656",
            "fax_number": "573-471-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSOURI UROLOGY CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "KILLION",
        "authorized_official_first_name": "LINZA",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-471-8656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH8712",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Health Center of Stoddard County LLC (Mercy Hospital Stoddard)
• Southeast Missouri Health Network
• Southeast Missouri Health Network (SIKESTON DENTAL Center)
• Southeast Missouri Health Network
• Southeast Missouri Health Network
• Sovereign Healthcare Group, LLC
• Chester Arthur Spears, M.D.
• St. Louis JC Vamc
• Donna Lee Stallings, MAED, CCC-SLP
• State of Missouri (Sikeston Regional Center)

• Urology Physician in Sikeston, MO
• Providers in Sikeston, MO by specialty
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.