Active NPI
Missouri Cancer Associates, LLC
- Urology Physician
- Columbia, MO
National Provider Identifier
1942605175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- MISSOURI CANCER ASSOCIATES, LLC
- Practice address
- 105 N Keene St
Suite 201
Columbia, MO 65201-8131 - Phone
- (573) 499-4990
- Fax
- (573) 442-2120
- NPI assigned
- Oct 30, 2014
- 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. Andrew Iliff, MD
- Title
- President
- Phone
- (573) 874-7800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
105 N Keene St
Suite 201
Columbia, MO 65201-8131
Mailing address
1705 E Broadway
Suite 100
Columbia, MO 65201-7166
Phone (573) 874-7800
Other names 1
- Urology Associates of Central Missouri
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 |
|---|---|---|---|
| 26D1099607 | Missouri Cancer Assoc Dba Urology Assoc of | Compliance | Apr 6, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1942605175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 E BROADWAY",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017166",
"telephone_number": "573-874-7800",
"fax_number": "573-874-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N KEENE ST",
"address_2": "SUITE 201",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018131",
"telephone_number": "573-499-4990",
"fax_number": "573-442-2120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSOURI CANCER ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-30",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A",
"authorized_official_last_name": "ILIFF",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-874-7800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Urology Associates of Central Missouri",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.