Active NPI
Christina E. Stixrud & Associates, M.D., P.C.
- Internal Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2004014283
- Legal business name
- CHRISTINA E. STIXRUD & ASSOCIATES, M.D., P.C.
- Practice address
- 1701 E Broadway
Suite 203
Columbia, MO 65201-8018 - Phone
- (573) 441-1000
- Fax
- (573) 441-1010
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christina Elaine Stixrud IV, M.D.
- Title
- Owner
- Phone
- (573) 441-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2004014283 | MO | Primary |
| Pediatrics Physician | 208000000X | 2004014283 | MO |
Addresses
Primary practice location
1701 E Broadway
Suite 203
Columbia, MO 65201-8018
Mailing address
1701 E Broadway
Suite 203
Columbia, MO 65201-8018
Phone (573) 441-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500774500 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1050880 | Christina E Stixrud | Certificate of waiver | Feb 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
1701 E Broadway
Ste 203
Columbia, MO 65201
Phone (573) 441-1000
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Columbia, MO
- NPI 1205937265
-
- Family Nurse Practitioner
- Columbia, MO
- NPI 1912026469
-
- Internal Medicine Physician
- Columbia, MO
- NPI 1780614495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262131200000",
"number": "1902907967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E BROADWAY",
"address_2": "SUITE 203",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018018",
"telephone_number": "573-441-1000",
"fax_number": "573-441-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E BROADWAY",
"address_2": "SUITE 203",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018018",
"telephone_number": "573-441-1000",
"fax_number": "573-441-1010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTINA E. STIXRUD & ASSOCIATES, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2009-12-30",
"status": "A",
"authorized_official_last_name": "STIXRUD",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-441-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "IV",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MO",
"license": "2004014283",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MO",
"license": "2004014283",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500774500",
"state": "MO"
}
],
"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 Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.