Central Missouri Nephrology Associates,LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R2H47 Issued in MO

Legal business name

CENTRAL MISSOURI NEPHROLOGY ASSOCIATES,LLC

Practice address

1100 Club Village Dr Ste 102
Columbia, MO 65203-4411

Phone

(573) 447-4400

Fax

(573) 303-0140

NPI assigned

Jan 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sunder M Lal, M.D.

Title

President

Phone

(573) 447-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1922087121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034411",
            "telephone_number": "573-447-4400",
            "fax_number": "573-303-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLUB VILLAGE DR STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034411",
            "telephone_number": "573-447-4400",
            "fax_number": "573-303-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MISSOURI NEPHROLOGY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "LAL",
        "authorized_official_first_name": "SUNDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-447-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R2H47",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202448718",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Brace Company
• Central Missouri Area Agency on Aging
• Central Missouri Community Action
• Central Missouri Dermatology Assoc
• Central Missouri Dermatology Associates, LLP
• Central Missouri Physical Therapy LLC
• Central Missouri Physical Therapy LLC
• Central Missouri Subcontracting Enterprises
• Central Missouri Surgery LLC
• Jordan Cera, MA, LMFT

• Nephrology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.