Active NPI
Marianne J Misiewicz, DPM
- Podiatrist
- Columbia, MO
National Provider Identifier
1932161049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2003017378
- Practice address
- 305 N Keene St
Suite 209
Columbia, MO 65201-6897 - Phone
- (573) 443-2015
- Fax
- (573) 449-5886
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2003017378 | MO | Primary |
| Public Medicine Podiatrist | 213EP0504X | 2003017378 | MO | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 2003017378 | MO |
Addresses
Primary practice location
305 N Keene St
Suite 209
Columbia, MO 65201-6897
Mailing address
305 N Keene St
Suite 209
Columbia, MO 65201-6897
Phone (573) 443-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1932161049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N KEENE ST",
"address_2": "SUITE 209",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016897",
"telephone_number": "573-443-2015",
"fax_number": "573-449-5886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N KEENE ST",
"address_2": "SUITE 209",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016897",
"telephone_number": "573-443-2015",
"fax_number": "573-449-5886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISIEWICZ",
"first_name": "MARIANNE",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MO",
"license": "2003017378",
"primary": true
},
{
"code": "213EP0504X",
"taxonomy_group": "",
"desc": "Podiatrist, Public Medicine",
"state": "MO",
"license": "2003017378",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "MO",
"license": "2003017378",
"primary": false
}
],
"identifiers": [],
"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 Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.